Individual
DR. MUKUND SRINIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9650 GROSS POINT RD STE 2900, SKOKIE, IL 60076-5006
(847) 866-7846
(224) 251-2905
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 570-5315
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036175206
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036175206
IL
Other
Enumeration date
04/04/2020
Last updated
06/19/2025
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