Individual
ASHA A MANNANCHERIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5145 N CALIFORNIA AVE STE 331, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 989-1734
Mailing address
5145 N CALIFORNIA AVE STE 331, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 989-1734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036164943
IL
208M00000X
Hospitalist Physician
Primary
036164943
IL
Other
Enumeration date
05/04/2020
Last updated
10/02/2023
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