Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 036.127461 | IL |
N | 207RH0003X | Hematology & Oncology | MD 431 515 | PA |
NPI | 1023238862 |
---|---|
Provider Name | Mrs. Kaoutar M. Tlemcani |
First Address | Zion, IL 60099 |
Second Address | Chicago, IL 60674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 03/12/2015 |