Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 125064336 | IL |
NPI | 1215304258 |
---|---|
Provider Name | Huda Adam |
First Address | Chicago, IL 60637-1824 |
Second Address | Chicago, IL 60637-1824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2015 |
Last Update Date | 25/08/2015 |