Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 125.062670 | IL |
N | 208600000X | Surgeon | 125.062670 | IL |
Y | 2086X0206X | Surgical Oncologist | 125.062670 | IL |
NPI | 1013357987 |
---|---|
Provider Name | Dr. Emily Catherine Sturm |
First Address | Springfield, IL 62702-5131 |
Second Address | Springfield, IL 62702-4901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2013 |
Last Update Date | 09/02/2022 |