Individual
SCOTT M. PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 W NORTH AVE, STE 505, MELROSE PARK, IL 60160-1634
(708) 450-4545
(708) 344-2629
Mailing address
675 W NORTH AVE, STE 505, MELROSE PARK, IL 60160-1634
(708) 450-4545
(708) 344-2629
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036056886
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056886
—
IL
Enumeration date
07/07/2005
Last updated
04/06/2010
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