Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 125075201 | IL |
NPI | 1013560812 |
---|---|
Provider Name | Dr. Yogesh Kumar Taheem |
First Address | Chicago, IL 60607-4098 |
Second Address | Chicago, IL 60612-3833 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2019 |
Last Update Date | 20/07/2019 |