Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A87980 | CA |
Y | 207VX0201X | Gynecologic Oncologist | 36111541 | IL |
N | 207VX0201X | Gynecologic Oncologist | A87980 | CA |
NPI | 1255374708 |
---|---|
Provider Name | Dr. Nita Karnik Lee |
First Address | Chicago, IL 60637-1447 |
Second Address | Chicago, IL 60637-1447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 16/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A879800 | (05) | CA |
036-11541 | (05) | IL |
I15897 | (02) | CA |