Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 036.136761 | IL |
NPI | 1366497539 |
---|---|
Provider Name | Dr. Michael Torchinsky |
First Address | Peoria, IL 61637 |
Second Address | Peoria, IL 61637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 02/11/2015 |