Doctor Name: | EIMAN EL-TAG |
NPI Number: | 1407065154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301083889 |
Business Practice Address: | 7273 W 87th St Bridgeview, IL - 604551821 |
Business Phone Number: | 7085991665 |
Business Fax Number: | |
Mailing Address: | 825 Bermuda Dunes Pl, NORTHBROOK |
State: | IL |
Postal Code: | 600623113 |
Phone Number: | 8475715637 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 12/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 4301083889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |