Individual
DR. CATHERINE THERESA THURUTHUMALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
680 N LAKE SHORE DR, CHICAGO, IL 60611
(312) 695-6868
Mailing address
925 N 87TH ST, MILWAUKEE, WI 53226-4812
(414) 456-2020
(414) 456-6300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
69247
WI
207W00000X
Ophthalmology Physician
ME128136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225395403
—
WI
Enumeration date
04/12/2012
Last updated
06/12/2018
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