Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 036081767 | IL |
NPI | 1174636591 |
---|---|
Provider Name | Dr. Robert Scott Springer |
First Address | Crest Hill, IL 60435 |
Second Address | Crest Hill, IL 60435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 20/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B58315 | (02) |