Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 036071678 | IL |
NPI | 1225083462 |
---|---|
Provider Name | Michael Francis O'toole |
First Address | Chicago, IL 60674-0018 |
Second Address | Elmhurst, IL 60126-5659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 23/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036071678 | (05) | IL |
060015702 | RAILROAD MEDICARE (01) | |
E32394 | (02) |