Individual
KATHRYN MANSURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036128961
IL
Other
Enumeration date
04/06/2009
Last updated
05/13/2013
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