Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 36112416 | IL |
N | 207R00000X | Internist | 036-112416 | IL |
N | 111NI0900X | Internist | 036-112416 | IL |
N | 207RH0000X | Hematologist | 036-112416 | IL |
NPI | 1326113440 |
---|---|
Provider Name | Dr. Warren William Piette |
First Address | Chicago, IL 60612-3723 |
Second Address | Chicago, IL 60612-3723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 28/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A01976 | (02) | IL |