Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 036-080937 | IL |
Y | 207RI0200X | Infectious Disease | 036-080937 | IL |
NPI | 1013920156 |
---|---|
Provider Name | Pamela Warnick |
First Address | Oak Brook, IL 60523-1225 |
Second Address | Chicago, IL 60642-2605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 22/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A14560 | (02) | IL |