Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 036153305 | IL |
NPI | 1033548383 |
---|---|
Provider Name | Yasmin Abaza |
First Address | Chicago, IL 60611-5970 |
Second Address | Chicago, IL 60611-5970 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2013 |
Last Update Date | 06/10/2020 |