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NPI Code Detail

MEDICARE: DR. MIRIAH D PLAWER-VOLMERDING MD

MEDICARE: DR. MIRIAH D PLAWER-VOLMERDING MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036120412IL

General Provider Information

NPI Number : 1194992339
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIRIAH D PLAWER-VOLMERDING MD
Provider Business Mailing Address
First Line : 2801 LAKESIDE DR STE 209
Second Line :
City : BANNOCKBURN
State : IL
Zip : 60015-1271
Country : US
Telephone Number : 847-562-1410
Fax Number : 847-562-0830
Provider Business Practice Location Address
First Line : 1000 CENTRAL ST STE 700
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1769
Country : US
Telephone Number : 847-869-3300
Fax Number : 847-869-1303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2008
Last Update Date : 01/23/2020

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