Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 036065038 | IL |
N | 207V00000X | Obstetrician & Gynecologist | 78-321 | WI |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 036065038 | IL |
NPI | 1275561193 |
---|---|
Provider Name | Dr. Scott N Macgregor |
First Address | Evanston, IL 60201-1718 |
Second Address | Evanston, IL 60201-1718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 06/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F24306 | (02) | IL |