Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 01054794A | IN |
Y | 2080P0214X | Pediatric Pulmonologist | 01054794 | IN |
NPI | 1275638918 |
---|---|
Provider Name | Muna M Kilani |
First Address | Sterling, IL 61081-1252 |
Second Address | Sterling, IL 61081-1252 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 31/07/2012 |