Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 125066887 | IL |
Y | 2080P0208X | Pediatric Infectious Diseases | 036.145272 | IL |
NPI | 1316332117 |
---|---|
Provider Name | David D Zhang |
First Address | Burr Ridge, IL 60527-6686 |
Second Address | Chicago, IL 60637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 02/07/2018 |