Scott-Terry, Toni
Scott-Terry, Toni is an sole proprietor health care provider with primary practice located at 20201 Crawford Ave , Olympia Fields IL 60461-1010. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Scott-Terry, Toni can be contacted via phone (708) 679-2160.Contact Information
Primary practice address
20201 Crawford Ave
Olympia Fields IL 60461-1010
Phone: (708) 679-2160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01068507A | Indiana |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01068507A | Indiana |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036102112 | Illinois |
Profile Details
| NPI number | 1003929175 |
|---|---|
| LBN Legal business name | Scott-Terry, Toni |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Sep 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003929175 | NPPES |
| Indiana | MEDICAID | 300066566 | |
| Indiana | Other | M71485205 | |
| Indiana | MEDICAID | 036102112 | |
| Indiana | Other | F400214350 |
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