Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 036122993 | IL |
NPI | 1275704256 |
---|---|
Provider Name | Adam Gafni-Kane |
First Address | Skokie, IL 60076-1214 |
Second Address | Skokie, IL 60076 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2008 |
Last Update Date | 23/10/2019 |