Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 036-083193 | IL |
N | 207YP0228X | Pediatric Otolaryngology | 036083193 | IL |
NPI | 1376573477 |
---|---|
Provider Name | Sarah Frances Mcdonald |
First Address | Oak Park, IL 60302-1322 |
Second Address | Chicago, IL 60612-3714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 27/04/2021 |