Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 036157133 | IL |
N | 207RP1001X | Pulmonary Disease | 32782 | OK |
N | 207RP1001X | Pulmonary Disease | 48854 | IA |
NPI | 1033524368 |
---|---|
Provider Name | Umama Adil |
First Address | Quincy, IL 62301-2834 |
Second Address | Quincy, IL 62301-2834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2014 |
Last Update Date | 05/11/2021 |