Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036136414 | IL |
Y | 207VX0201X | Gynecologic Oncologist | 036136414 | IL |
NPI | 1033471131 |
---|---|
Provider Name | Kathryn Anne Mills |
First Address | Burr Ridge, IL 60527-5965 |
Second Address | Chicago, IL 60637-1443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 03/03/2020 |