Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 036119072 | IL |
NPI | 1053537027 |
---|---|
Provider Name | Dr. David Joseph Ubogy |
First Address | Chicago, IL 60707-3351 |
Second Address | Chicago, IL 60707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 19/08/2019 |