Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 036118762 | IL |
NPI | 1285830935 |
---|---|
Provider Name | Dr. Archana R Narayan |
First Address | Joliet, IL 60435-8100 |
Second Address | Joliet, IL 60435-8100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 06/09/2007 |