Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | IL |
NPI | 1043495237 |
---|---|
Provider Name | Dr. Michele Marie Delsignore |
First Address | Chicago, IL 60640 |
Second Address | Chicago, IL 60640-5759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2008 |
Last Update Date | 07/01/2008 |