Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 125061871 | IL |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036142282 | IL |
NPI | 1396008116 |
---|---|
Provider Name | Dr. Linda Idris Suleiman |
First Address | Chicago, IL 60611-2927 |
Second Address | Chicago, IL 60611-2987 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2012 |
Last Update Date | 24/10/2018 |