Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 34.012612 | OH |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 36.146625 | IL |
NPI | 1790058717 |
---|---|
Provider Name | Maria Romano Mcgann |
First Address | Oak Park, IL 60302-2510 |
Second Address | Oak Park, IL 60302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2012 |
Last Update Date | 24/08/2021 |