Balkrishna Sundar Md Sc

NPI 1316049166 - Urology - 208800000X

NPI Details
NPI 1316049166
Enumeration Date 09/02/2006
Last Updated 10/23/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BALAKRISHNA BALAKRISHNA
Position PRESIDENT
Phone (773) 868-1800
Fax (773) 868-4072
Practice Location
2674 N HALSTED ST
CHICAGO IL, 60614-2361, US
Phone (773) 868-1800
Fax (773) 868-4072
Business Location
PO BOX 798
PARK RIDGE IL, 60068, US
Phone (847) 692-6218
Fax (847) 692-5609
Toxanomy
Taxonomy Code 208800000X
License State Illinois
License Number 036053086
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According to our database, Balkrishna Sundar Md Sc NPI is 1316049166, taxonomy code is 208800000X and license number is 036053086, license state is located at Illinois. Balkrishna Sundar Md Sc physically located at 2674 N Halsted St, Chicago IL, 60614-2361. NPI Number 1033115704 has the healthcare provider type.

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1316049166 NPI number is provided on an as is basis without warranty of any kind. 1316049166 is maintained by the National Plan & Provider Enumeration System. The contents of Balkrishna Sundar Md Sc are for informational purposes only.