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Individual

MONA KANSAGRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1460 N HALSTED ST STE 402, CHICAGO, IL 60642-2607
(312) 279-8900
Mailing address
616 W FULTON ST APT 303, CHICAGO, IL 60661-1265
(856) 264-3322

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.142571
IL

Other

Enumeration date
04/15/2014
Last updated
09/29/2020
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