Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 036057201 | IL |
Y | 208000000X | Pediatrician | 036057201 | IL |
NPI | 1629051289 |
---|---|
Provider Name | Dr. Rhonda Spiro |
First Address | Chicago, IL 60660-3480 |
Second Address | Chicago, IL 60612-4795 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 13/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D13401 | (02) |