M K Palmore MD SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036061973 Issued in IL

Legal business name

M K PALMORE MD SC

Practice address

3641 E 108TH St
Chicago, IL 60617-6951

Phone

(773) 731-5466

Fax

(773) 731-5461

NPI assigned

May 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary K Palmore, MD

Title

Owner

Phone

(773) 731-5466

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1902241524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5543",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606805543",
            "telephone_number": "773-731-5466",
            "fax_number": "773-731-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 E 108TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176951",
            "telephone_number": "773-731-5466",
            "fax_number": "773-731-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M K PALMORE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "PALMORE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-731-5466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036061973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.