Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 36091682 | IL |
NPI | 1043297971 |
---|---|
Provider Name | Joseph Kash |
First Address | Naperville, IL 60540-6766 |
Second Address | Naperville, IL 60540-6766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 02/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036091682 2 | (05) | IL |
H07663 | (02) | IL |