Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 036050917 | IL |
NPI | 1083660286 |
---|---|
Provider Name | Dr. Charles Harold Schikman |
First Address | Morton Grove, IL 60053-2102 |
Second Address | Skokie, IL 60076-1259 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 05/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C42391 | (02) | IL |