Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 036-100786 | IL |
NPI | 1013940238 |
---|---|
Provider Name | Rosemary Espinoza |
First Address | Aurora, IL 60506-6222 |
Second Address | Aurora, IL 60506-6209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 11/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036100786 | (05) | IL |
H23445 | (02) |