Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT199224 | PA |
Y | 2080P0208X | Pediatric Infectious Diseases | 036-151691 | IL |
NPI | 1285928416 |
---|---|
Provider Name | Dr. Lisa Nowoslawski Akhtar |
First Address | Chicago, IL 60611-2991 |
Second Address | Chicago, IL 60611-2991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2011 |
Last Update Date | 25/02/2020 |