Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036123767 | IL |
N | 111NI0900X | Internist | 036123767 | IL |
NPI | 1003099953 |
---|---|
Provider Name | Karen Chiu |
First Address | Glenview, IL 60026-1301 |
Second Address | Glenview, IL 60026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2007 |
Last Update Date | 11/10/2019 |