Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036125275 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 036125275 | IL |
NPI | 1588820294 |
---|---|
Provider Name | Dr. Jane Elizabeth Wilcox |
First Address | Chicago, IL 60611-5975 |
Second Address | Chicago, IL 60611-5975 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2008 |
Last Update Date | 06/07/2020 |