Individual
MR. SRIDHAR CHIGURUPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 KISH HOSPITAL DRIVE, DEKALB, IL 60115-9602
(630) 936-4029
(630) 936-4032
Mailing address
1 KISH HOSPITAL DRIVE, DEKALB, IL 60115-9602
(630) 936-4029
(630) 936-4032
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-103927
IL
207L00000X
Anesthesiology Physician
Primary
036.103927
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103927
—
IL
Enumeration date
06/30/2006
Last updated
04/02/2012
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