Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 125071492 | IL |
NPI | 1760992739 |
---|---|
Provider Name | Pierpaolo Di Cocco |
First Address | Chicago, IL 60641-5556 |
Second Address | Chicago, IL 60641-5556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2017 |
Last Update Date | 04/10/2017 |