Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 036057418 | IL |
N | 2080P0210X | Pediatric Nephrologist | 036057418 | IL |
NPI | 1568498889 |
---|---|
Provider Name | Gayle L. Kates |
First Address | Chicago, IL 60649-1506 |
Second Address | Chicago, IL 60615-2400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 13/03/2013 |