Organization
IYENGAR GERIATRIC HOSPITALIST SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANILO R COITE (ACCESS MANAGER)
(775) 848-1032
Entity
Organization
Contact information
Practice address
2674 N HALSTED ST, CHICAGO, IL 60614-2361
(773) 697-3729
Mailing address
1740 OAK AVE STE C1C2, EVANSTON, IL 60201-5989
(775) 848-1032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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