JUDITH M PENN
NPI 1811471808
Specialist in Chicago, IL
- Individual
- Female
- Specialist
About JUDITH PENN
This page provides the complete NPI Profile along with additional information for Judith Penn, a provider established in Chicago, Illinois with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1811471808 assigned on September 2018. The practitioner's primary taxonomy code is 174400000X with license number 011.204549 (IL). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1811471808 Verify this NPI
- Provider Name
- JUDITH M PENN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 8312 S KEDZIE AVE CHICAGO, IL 60652
- Location Phone
- (773) 789-2747
- Mailing Address
- 8312 S KEDZIE AVE CHICAGO, IL 60652
- Mailing Phone
- (773) 789-2747
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-17-2018
- Last Update Date
- 09-17-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 011.204549
- License State
- IL
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811471808, enumerated as an "individual" on September 17, 2018.
The provider is located at 8312 S KEDZIE AVE CHICAGO, IL 60652 and the phone number is (773) 789-2747.
Specialist with taxonomy code 174400000X.
