Organization Name: | MATERNAL FETAL MEDICINE CONSULTANTS OF IL, PC |
NPI Number: | 1588763502 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD GRUNDY (DOCTOR) |
Mailing Address: | 16533 106th Ct Orland Park |
State: | IL US |
Postal Code: | 604674545 |
Phone Number: | 7083647380 |
Fax Number: | 7083647382 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036051830 |
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. |