Individual
DR. SUBRAMANYAM SANTHANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, DIV OF NEPHROLOGY, EVANSTON, IL 60201-1718
(847) 561-6085
Mailing address
44 WELLESLEY CIR, NONE, NORTHBROOK, IL 60062-1137
(847) 561-6085
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036049096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049096
—
IL
Enumeration date
10/24/2006
Last updated
02/26/2016
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