Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 036-114290 | IL |
NPI | 1174695571 |
---|---|
Provider Name | Dr. Jami L Josefson |
First Address | Chicago, IL 60611-2605 |
Second Address | Chicago, IL 60611-2605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 02/05/2012 |