Organization Name: | KANCHANA ESARIYA UMPAI,MD,SC. |
NPI Number: | 1083888093 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KANCHANA ESARIYA UMPAI (PRESIDENT) |
Mailing Address: | 1026 Essington Rd Joliet |
State: | IL US |
Postal Code: | 604352841 |
Phone Number: | 8157442556 |
Fax Number: | 8157443554 |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 05/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036060991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |