Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 36046446 | IL |
NPI | 1144294281 |
---|---|
Provider Name | Dr. Reena Jabamoni |
First Address | Hoffman Estates, IL 60169-1090 |
Second Address | Hoffman Estates, IL 60169-1090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 14/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C41642 | (02) |