Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 036.149894 | IL |
N | 207KA0200X | Allergist | 036.149894 | IL |
N | 207RA0201X | Internist - Allergy & Immunology | 036.149894 | IL |
NPI | 1134561616 |
---|---|
Provider Name | Bella Lerman |
First Address | Arlington Heights, IL 60005-2468 |
Second Address | Arlington Heights, IL 60005-2468 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2013 |
Last Update Date | 09/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036.149894 | LICENSED PHYSICIAN AND SURGEON (01) | IL |
FL7657414 | DEA (01) |