Individual
DR. JERRY KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-2274
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(410) 960-1694
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
IL
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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