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Individual

MR. GUHAN ARUMUGAM SHANMUGASUNDARAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.B.B.S.

Contact information

Practice address
840 SOUTH WOOD STREET, ROOM 402, CLINICAL SCIENCES BUILDING, MAIL CODE 958, CHICAGO, IL 60612
(312) 355-0104
(312) 413-3483
Mailing address
840 SOUTH WOOD STREET, ROOM 402, CLINICAL SCIENCES BUILDING, MAIL CODE 958, CHICAGO, IL 60612
(312) 355-0104
(312) 413-3483

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125086481
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/19/2025
Last updated
10/01/2025
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