Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | IL | |
N | 111NS0005X | Chiropractic Sports Physician | IL |
NPI | 1003994567 |
---|---|
Provider Name | Dr. John David Turner |
First Address | Bartlett, IL 60103-7507 |
Second Address | Glendale Heights, IL 60139-1757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1617603 | BC/BS OF IL (01) | IL |