Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 042396 | IL |
NPI | 1083237382 |
---|---|
Provider Name | Janet Cardenas |
First Address | Elgin, IL 60120-5207 |
Second Address | Chicago, IL 60611-3055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2020 |
Last Update Date | 20/05/2020 |