Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | B01368 | NV |
Y | 111NP0017X | Pediatric Chiropractor | 038.011518 | IL |
NPI | 1144532326 |
---|---|
Provider Name | Dr. Cindy H Ke |
First Address | Skokie, IL 60076-1757 |
Second Address | Skokie, IL 60076-1757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2010 |
Last Update Date | 22/07/2011 |