Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 211.000169 | IL |
Y | 222Z00000X | Podiatrist | 211.000169 | IL |
N | 224P00000X | Prosthetist |
NPI | 1447753413 |
---|---|
Provider Name | Robert Uehlein |
First Address | Hinsdale, IL 60521-5063 |
Second Address | Oakbrook Terrace, IL 60181-3985 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2018 |
Last Update Date | 15/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
211.000169 | LICENSED ORTHOTIST (01) | IL |
213.000130 | LICENSED PROSTHETIST (01) | IL |