Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036-111114 | IL |
N | 111NI0900X | Internist | 036-111114 | IL |
Y | 207RC0000X | Internist - Cardiovascular Disease | 036-111114 | IL |
NPI | 1003007170 |
---|---|
Provider Name | Dr. Sorin C Danciu |
First Address | Chicago, IL 60657-3014 |
Second Address | Chicago, IL 60657-3014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 28/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1487951711 | GROUP NPI (01) | IL |
1602375 | BCBS (01) | IL |