Individual
MR. KIRAN SURESH NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657
(312) 766-4949
(312) 766-4925
Mailing address
3134 N CLARK ST, CHICAGO, IL 60657
(312) 766-4949
(312) 766-4925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.170730
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.077923
IL
Other
Enumeration date
05/25/2021
Last updated
03/18/2025
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