Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | IL |
NPI | 1033240932 |
---|---|
Provider Name | Fermina Ventura |
First Address | Arlington Heights, IL 60004-3985 |
Second Address | Arlington Heights, IL 60004-3985 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 08/07/2007 |