Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 38 days before observation
207LP2900X · INVERNESS, IL
Why this profile is appearing now
The official enumeration date falls within the documented new-enumeration window.
Reported classification
| Code | Description | Source flag |
|---|---|---|
| 207LP2900X | 207LP2900X | Primary |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record