Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 036091746 | IL |
NPI | 1043237050 |
---|---|
Provider Name | Dr. Peter D Hart |
First Address | Oak Brook, IL 60523-1563 |
Second Address | Chicago, IL 60612-3714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 26/04/2021 |