Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125.053016 | IL |
N | 111NI0900X | Internist | 125.053016 | IL |
Y | 207RH0000X | Hematologist | 036-125429 | IL |
NPI | 1396901500 |
---|---|
Provider Name | Dr. Deborah Ann Katz |
First Address | Chicago, IL 60612-3833 |
Second Address | Chicago, IL 60612-3833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 19/11/2015 |