Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 125054319 | IL |
Y | 2080P0202X | Pediatric Cardiologist | 036127354 | IL |
NPI | 1063678852 |
---|---|
Provider Name | Dr. Ahmad Sami Chaouki |
First Address | Chicago, IL 60611-2991 |
Second Address | Chicago, IL 60611-2991 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2008 |
Last Update Date | 06/08/2015 |