Organization
MOUNTSINAI HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RADHIKA DASARAJU M.D (PGY-2)
(309) 660-1837
Entity
Organization
Contact information
Practice address
1500 S CALIFORNIA AVE, CHICAGO, IL 60608-1729
(773) 257-6183
Mailing address
1500 S CALIFORNIA AVE, CHICAGO, IL 60608-1729
(773) 257-6183
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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