Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036106973 | IL |
NPI | 1033131024 |
---|---|
Provider Name | Eldin E. Karaikovic |
First Address | Chicago, IL 60611-1505 |
Second Address | Chicago, IL 60640-5759 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 23/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H77103 | (02) |