Doctor Name: | DR. THERESA KEPIC |
NPI Number: | 1134230782 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 36076711 |
Business Practice Address: | 3001 Green Bay Rd North Chicago, IL - 600643048 |
Business Phone Number: | 8476881900 |
Business Fax Number: | |
Mailing Address: | 1310 Saint William Dr, LIBERTYVILLE |
State: | IL |
Postal Code: | 600481274 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 36076711 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |