Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 036-116071 | IL |
N | 2080P0201X | Pediatric Allergist | 036-116071 | IL |
NPI | 1427259605 |
---|---|
Provider Name | Dr. Sakina Shikari Bajowala |
First Address | North Aurora, IL 60542-2006 |
Second Address | North Aurora, IL 60542-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 31/08/2016 |