Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 036057716 | IL |
Y | 207RH0003X | Hematology & Oncology | 036057716 | IL |
NPI | 1306864160 |
---|---|
Provider Name | Jane Winter |
First Address | Chicago, IL 60611-4546 |
Second Address | Chicago, IL 60611-5975 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 26/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C43613 | (02) |