Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 036.123523 | IL |
NPI | 1306090089 |
---|---|
Provider Name | Dr. Migdalia Cortina |
First Address | Chicago, IL 60631-3716 |
Second Address | Chicago, IL 60631-3716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2008 |
Last Update Date | 14/04/2021 |