Provider Demographics
NPI: | 1366408957 |
---|---|
Name: | SALAMON, MARGARET ANNE (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | MARGARET |
Middle Name: | ANNE |
Last Name: | SALAMON |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 9650 GROSS POINT RD STE 3900 |
Mailing Address - Street 2: | |
Mailing Address - City: | SKOKIE |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60076-1214 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 847-677-1400 |
Mailing Address - Fax: | 847-933-3531 |
Practice Address - Street 1: | 9650 GROSS POINT RD STE 3900 |
Practice Address - Street 2: | |
Practice Address - City: | SKOKIE |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60076 |
Practice Address - Country: | US |
Practice Address - Phone: | 847-677-1400 |
Practice Address - Fax: | 847-933-3531 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-04-24 |
Last Update Date: | 2025-05-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
IL | 036090387 | 207V00000X, 207VG0400X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
IL | G04855 | Medicare UPIN | |
IL | 367272 | Medicare ID - Type Unspecified |