Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 036-039955 | IL |
NPI | 1063600468 |
---|---|
Provider Name | Dr. James C Sheinin |
First Address | Chicago, IL 60602-1903 |
Second Address | Chicago, IL 60602-1903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2007 |
Last Update Date | 13/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
21601434 | BLUE CROSS BLUE SHIELD (01) | IL |
C41307 | (02) | IL |