Suman Shrestha
Internal Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1619706868
StatusActive
Last updated in NPPESJul 27, 2024
Details
- NPI
- 1619706868
- Entity type
- Individual (NPI-1)
- Name
- Suman Shrestha
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2024
- Certification date
- Jul 27, 2024
- Last updated
- Jul 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 125083855 | IL | Yes |
Practice location
4646 N Marine DrChicago, IL 60640-5759
Phone 773-564-5225 · Fax 773-564-5226
Mailing address
4646 N Marine DrChicago, IL 60640-5759
Phone 773-564-5225 · Fax 773-564-5226
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