Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 36046023 | IL |
NPI | 1033204706 |
---|---|
Provider Name | William Simon Markey |
First Address | Chicago, IL 60614 |
Second Address | Chicago, IL 60657-5194 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 18/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0021607476 | BC (01) | |
036046023 | (05) | IL |
C45070 | (02) |