Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 60518 | MN |
NPI | 1316251796 |
---|---|
Provider Name | Ismail Mert |
First Address | Chicago, IL 60673-0001 |
Second Address | Chicago, IL 60657-6704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2010 |
Last Update Date | 18/11/2021 |