Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036120468 | IL |
N | 111NI0900X | Internist | 036120468 | IL |
Y | 207RH0003X | Hematology & Oncology | 036120468 | IL |
NPI | 1063609121 |
---|---|
Provider Name | Dr. Jane Ellen Churpek |
First Address | Chicago, IL 60637-1447 |
Second Address | Chicago, IL 60637-1447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2007 |
Last Update Date | 19/01/2021 |