Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | IL | |
N | 208600000X | Surgeon | IL | |
N | 208G00000X | Cardiothoracic Vascular Surgeon | IL |
NPI | 1013034560 |
---|---|
Provider Name | Dr. Alexander Salim Geha |
First Address | Chicago, IL 60612-4325 |
Second Address | Chicago, IL 60612-4325 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
60501590234 | ME# (01) | IL |
D89555 | (02) | IL |