Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 213000073 | IL |
N | 222Z00000X | Podiatrist | 213000073 | IL |
Y | 224P00000X | Prosthetist | 211000062 | IL |
NPI | 1033627781 |
---|---|
Provider Name | Michael H Oros |
First Address | Oakbrook Terrace, IL 60181-3985 |
Second Address | Oakbrook Terrace, IL 60181-3985 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2018 |
Last Update Date | 16/06/2018 |