Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 4339 | AZ |
NPI | 1093761363 |
---|---|
Provider Name | Dr. Erica Salaman |
First Address | Chicago, IL 60608-2713 |
Second Address | Chicago, IL 60608-2713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 08/07/2007 |