Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 036064770 | IL |
N | 2080P0207X | Pediatric Hematology-Oncologist | 036064770 | IL |
NPI | 1205815545 |
---|---|
Provider Name | Dr. Neelam Narula |
First Address | Algonquin, IL 60102-9406 |
Second Address | Algonquin, IL 60102-9406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2006 |
Last Update Date | 17/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036064770 | (05) | IL |
C67396 | (02) | IL |