Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 036.127511 | IL |
N | 207N00000X | Dermatologist | C150098 | CA |
NPI | 1043472970 |
---|---|
Provider Name | Shani Francis |
First Address | Evanston, IL 60201-4421 |
Second Address | Manteca, CA 95336-4942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 29/06/2021 |