Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 016005480 | IL |
NPI | 1033481627 |
---|---|
Provider Name | Dr. Kari Leann Chase |
First Address | Evanston, IL 60201-2455 |
Second Address | Evanston, IL 60201-2455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2012 |
Last Update Date | 31/05/2016 |