Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 036117921 | IL |
NPI | 1164519930 |
---|---|
Provider Name | Sangeeta Senapati |
First Address | Skokie, IL 60076-1214 |
Second Address | Skokie, IL 60076 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 10/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I43325 | (02) | MI |