Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 036126700 | IL |
N | 2080P0203X | Pediatric Critical Care Doctor | 35089835 | OH |
NPI | 1275739138 |
---|---|
Provider Name | Valerie E Kalinowski |
First Address | Chicago, IL 60612-3833 |
Second Address | Chicago, IL 60612-3801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036126700 | (05) | IL |