Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 036-121718 | IL |
NPI | 1720237159 |
---|---|
Provider Name | Daniela Ladner |
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 | 10/09/2008 |
Last Update Date | 10/09/2008 |