Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 036.128027 | IL |
NPI | 1417104274 |
---|---|
Provider Name | Dr. Deirdre Ita De Ranieri |
First Address | Chicago, IL 60614-3104 |
Second Address | Chicago, IL 60637-1447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2008 |
Last Update Date | 15/10/2014 |