Individual
MIRA SUNDAR RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-4200
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036175788
IL
208M00000X
Hospitalist Physician
Primary
036175788
IL
Other
Enumeration date
04/18/2022
Last updated
07/07/2025
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