Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 036102269 | IL |
Y | 207RP1001X | Pulmonary Disease | 036102269 | IL |
NPI | 1063445195 |
---|---|
Provider Name | Dr. Julia Rozovsky Weinberger |
First Address | Chicago, IL 60657 |
Second Address | Skokie, IL 60076 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 27/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H98441 | (02) | IL |