Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 209007398 | IL |
NPI | 1043440316 |
---|---|
Provider Name | Vanessa Treps |
First Address | Aurora, IL 60506-3814 |
Second Address | Aurora, IL 60506-3814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2009 |
Last Update Date | 21/07/2009 |