Individual
MUTHIAH RAMU ANNAMALAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
225 E CHICAGO AVE # 51, CHICAGO, IL 60611-2991
(312) 227-4455
Mailing address
225 E CHICAGO AVE # 51, CHICAGO, IL 60611-2991
(312) 227-4455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.171034
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2018
Last updated
08/08/2024
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