Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036-139899 | IL |
N | 111NI0900X | Internist | 036-139899 | IL |
N | 207RH0000X | Hematologist | 036-139899 | IL |
Y | 207RH0003X | Hematology & Oncology | 036139899 | IL |
NPI | 1033451513 |
---|---|
Provider Name | Noah Warren Birch |
First Address | Chicago, IL 60611-5975 |
Second Address | Chicago, IL 60611-2987 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2013 |
Last Update Date | 21/04/2021 |