Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | IL |
NPI | 1003935644 |
---|---|
Provider Name | Ms. Anca Daniela Bulgariu |
First Address | Chicago, IL 60637-1426 |
Second Address | Chicago, IL 60637-1426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/07/2007 |