Odile David
Pathology, Anatomic Pathology & Clinical Pathology in Chicago, IL. Individual provider (NPI-1).
NPI number1649385147
StatusActive
Last updated in NPPESMar 5, 2021
Details
- NPI
- 1649385147
- Entity type
- Individual (NPI-1)
- Name
- Odile David
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Certification date
- Mar 5, 2021
- Last updated
- Mar 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 036097198 | IL | Yes |
Practice location
1740 W Taylor StChicago, IL 60612-7232
Phone 866-600-2273
Mailing address
809 S Marshfield Ave9th Floor (M/C 732)
Chicago, IL 60612-4305
Phone 312-996-7699 · Fax 312-996-1001
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