Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 209000507 | IL |
N | 363LP0222X | Nurse Practitioner Pediatrics (Critical Care) | 209-000507 | IL |
NPI | 1013094564 |
---|---|
Provider Name | Ms. Barbara Anne Weintraub |
First Address | Glenview, IL 60025-3815 |
Second Address | Glenview, IL 60025-3815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 11/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P59221 | (02) |