Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 036.143024 | IL |
Y | 2086S0120X | Pediatric Surgery | 036.143024 | IL |
NPI | 1699177030 |
---|---|
Provider Name | Caroline Lemoine |
First Address | Chicago, IL 60611-2991 |
Second Address | Chicago, IL 60611-2991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2014 |
Last Update Date | 28/08/2017 |