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Individual

DR. ANJU MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1870 SILVER CROSS BLVD STE 240, NEW LENOX, IL 60451-8646
(630) 873-8889
(630) 456-7138
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0363147982
IL
207R00000X
Internal Medicine Physician
DR.0058000
CO
207RN0300X
Nephrology Physician
Primary
0363147982
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028508
KIASER COMMERCIAL NUMBER
CO
Enumeration date
03/30/2014
Last updated
09/05/2023
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