Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 036074843 | IL |
NPI | 1063462265 |
---|---|
Provider Name | Scott J Cinel |
First Address | Elmhurst, IL 60126-2885 |
Second Address | Elmhurst, IL 60126-5626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 03/05/2011 |