Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 036153402 | IL |
NPI | 1609118728 |
---|---|
Provider Name | Dr. Erica Denise Louden |
First Address | Chicago, IL 60619-5741 |
Second Address | Chicago, IL 60622-2015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 16/09/2020 |