Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 036.063446 | IN |
NPI | 1063845626 |
---|---|
Provider Name | Kala Sukerkar |
First Address | Glenview, IL 60026-1030 |
Second Address | Glenview, IL 60026-1030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2013 |
Last Update Date | 18/08/2013 |