Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 036.150704 | IL |
NPI | 1003256850 |
---|---|
Provider Name | Dr. Uzma Rezvi |
First Address | Burr Ridge, IL 60527-6686 |
Second Address | Gurnee, IL 60031-4591 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2013 |
Last Update Date | 22/03/2021 |