Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MT199600 | PA |
Y | 2086S0105X | Surgery of the Hand | 036146905 | IL |
NPI | 1083909956 |
---|---|
Provider Name | Dr. Tiffany R Kadow |
First Address | Chicago, IL 60611 |
Second Address | Warrenville, IL 60555 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2011 |
Last Update Date | 12/09/2018 |