Shanti Portia Ganesh MD, MPH

NPI 1174718076 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1174718076
Gender Female
Enumeration Date 09/13/2007
Last Updated 07/11/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3001 GREEN BAY RD
PM&R DEPARTMENT (117)
NORTH CHICAGO IL, 60064-3048, US
Phone (224) 610-4150
Fax
Business Location
3001 GREEN BAY RD
PM&R DEPARTMENT (117)
NORTH CHICAGO IL, 60064-3048, US
Phone (224) 610-4150
Fax
Toxanomy
Taxonomy Code 208100000X
License State Illinois
License Number 125050793
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According to our database, Dr. Shanti Portia Ganesh MD, MPH NPI is 1174718076, taxonomy code is 208100000X and license number is 125050793, license state is located at Illinois. Shanti Portia Ganesh MD, MPH physically located at 3001 Green Bay Rd, North Chicago IL, 60064-3048. NPI Number Shanti Portia Ganesh MD, MPH has the Individual type.

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1174718076 NPI number is provided on an as is basis without warranty of any kind. 1174718076 is maintained by the National Plan & Provider Enumeration System. The contents of Shanti Portia Ganesh MD, MPH are for informational purposes only.