Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 036102360 | IL |
NPI | 1235244773 |
---|---|
Provider Name | Anaadriana Zakarija |
First Address | Chicago, IL 60611-4546 |
Second Address | Chicago, IL 60611-5975 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 17/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I16645 | (02) |