Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036142324 | IL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 036142324 | IL |
NPI | 1306136668 |
---|---|
Provider Name | Emily Meredith Mayekar |
First Address | Orland Park, IL 60467-5541 |
Second Address | Oak Lawn, IL 60453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 21/12/2021 |