Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 036099855 | IL |
NPI | 1043318223 |
---|---|
Provider Name | Nancy Schindler |
First Address | Evanston, IL 60201-1718 |
Second Address | Skokie, IL 60077-1057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 13/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H00130 | (02) |