Individual
DR. TONI SCOTT-TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 679-2160
Mailing address
430 E 162ND ST, #300, SOUTH HOLLAND, IL 60473-2258
(708) 566-4856
(708) 782-2045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01068507A
IN
207V00000X
Obstetrics & Gynecology Physician
01068507A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
036102112
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102112
—
IL
05
—
300066566
—
IN
01
—
F400214350
MEDICARE PTAN
IL
01
—
M71485205
MEDICARE PTAN
IN
Enumeration date
08/16/2006
Last updated
09/21/2022
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