Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.121105 | OH |
N | 208000000X | Pediatrician | D0081514 | MD |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 036.152665 | IL |
N | 2080N0001X | Neonatal-Perinatal Doctor | D0081514 | MD |
NPI | 1073825717 |
---|---|
Provider Name | Laura Marie Seske |
First Address | Chicago, IL 60612-3833 |
Second Address | Chicago, IL 60612-3833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2010 |
Last Update Date | 29/06/2020 |