Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 036071780 | IL |
N | 208200000X | Surgeon | 036-071780 | IL |
N | 208600000X | Surgeon | 036-071780 | IL |
Y | 208200000X | Surgeon | 036071780 | IL |
Y | 208600000X | Surgeon | 036071780 | IL |
NPI | 1366481871 |
---|---|
Provider Name | Howard Sankary |
First Address | Maywood, IL 60153 |
Second Address | Maywood, IL 60153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 12/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D163701 | (02) | IL |