Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 036098152 | IL |
NPI | 1144200502 |
---|---|
Provider Name | Dr. Nooshig Luz Salvador |
First Address | Elmhurst, IL 60126-5658 |
Second Address | Elmhurst, IL 60126-2816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G82815 | (02) |