Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 036.136937 | IL |
NPI | 1619291861 |
---|---|
Provider Name | Dr. Dina Golbin-Hallett |
First Address | Elgin, IL 60123-7903 |
Second Address | Elgin, IL 60123-7903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2010 |
Last Update Date | 10/10/2019 |