Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 036071597 | IL |
NPI | 1457360984 |
---|---|
Provider Name | Dr. Francesca Popper |
First Address | Lincolnwood, IL 60712-3103 |
Second Address | Chicago, IL 60657-5188 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 27/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
36071597 | (05) | IL |
E43572 | (02) | IL |