Doctor Name: | AMY F TAUB |
NPI Number: | 1215967765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036-073151 |
Business Practice Address: | 275 Parkway Dr Suite 521 Lincolnshire, IL - 600694341 |
Business Phone Number: | 8474596400 |
Business Fax Number: | 8474594610 |
Mailing Address: | 275 Parkway Dr, Suite 521 LINCOLNSHIRE |
State: | IL |
Postal Code: | 600694341 |
Phone Number: | 8474596400 |
Fax Number: | 8474594610 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036-073151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |