Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 036114374 | IL |
NPI | 1134390750 |
---|---|
Provider Name | Brinda P Joshi |
First Address | Chicago, IL 60674-0018 |
Second Address | Naperville, IL 60563-8610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2008 |
Last Update Date | 05/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036114374 | (05) | IL |
P00631979 | RR MEDICARE (01) | IL |