Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 213.000165 | IL |
Y | 222Z00000X | Podiatrist | 213.000165 | IL |
N | 224P00000X | Prosthetist | 211.000141 | IL |
NPI | 1265805519 |
---|---|
Provider Name | Peter Dreher |
First Address | Western Springs, IL 60558-1831 |
Second Address | Chicago, IL 60707-3351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2015 |
Last Update Date | 03/11/2020 |