Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036072180 | IL |
NPI | 1033149901 |
---|---|
Provider Name | Victor M. Romano |
First Address | River Forest, IL 60305-1886 |
Second Address | River Forest, IL 60305-1886 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 14/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036072180 | (05) | IL |
F14744 | (02) |