Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | IL |
NPI | 1083633663 |
---|---|
Provider Name | Dr. Leonard S. Piazza |
First Address | Naperville, IL 60540-6547 |
Second Address | Naperville, IL 60540-6547 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C48694 | (02) | IL |