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Shantharaj Samuel M.d.,s.c.
Specialist in Chicago, Illinois
NPI 1831375559

Shantharaj Samuel M.d.,s.c. is a Specialist based in Chicago, IL. Shantharaj Samuel M.d.,s.c. practices in Chicago, IL. The NPI Number for Shantharaj Samuel M.d.,s.c. is 1831375559 and holds a License No. (Illinois).

The current practice location address for Shantharaj Samuel M.d.,s.c. is 3942 N Central Ave, Chicago, IL and can be reached out via phone at 773-736-6220.

Location: 3942 N Central Ave, Chicago, IL, 60634-2732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831375559
Provider Name
Shantharaj Samuel M.d.,s.c.
Credential
Provider Entity Type
Organization
Address
3942 N Central Ave, Chicago, IL, 60634-2732
Phone Number
773-736-6220
Fax Number
Provider Enumeration Date
01/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3942 N Central Ave
City
Chicago
State
Illinois
Zip
60634-2732
Phone Number
773-736-6220
Fax Number
person
Provider Business Mailing Address Details
Address
3942 N Central Ave
City
Chicago
State
Illinois
Zip
60634-2732
Phone Number
773-736-6220
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
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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