Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 016005310 | IL |
NPI | 1013117050 |
---|---|
Provider Name | Dr. Mollye Deborah Karp |
First Address | Northbrook, IL 60062-2319 |
Second Address | Northbrook, IL 60062-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 31/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
330602901 | (05) | TX |
330602902 | (05) | TX |
330602903 | (05) | TX |
P01302991 | RAILROAD MEDICARE (01) | TX |