Provider Demographics
NPI:1508243205
Name:SCOTT, INZA
Entity Type:Individual
Prefix:
First Name:INZA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 S WACKER DR STE 8400
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-6338
Mailing Address - Country:US
Mailing Address - Phone:312-473-1345
Mailing Address - Fax:
Practice Address - Street 1:233 S WACKER DR STE 8400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-6338
Practice Address - Country:US
Practice Address - Phone:312-473-1345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver