Individual
KAROON NITITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 AUSTIN ST, SUITE 501, EVANSTON, IL 60202-3439
(847) 905-1001
(847) 905-1002
Mailing address
800 AUSTIN ST, SUITE501, EVANSTON, IL 60202-3439
(847) 905-1001
(847) 905-1002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-0499652
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360499652
—
IL
Enumeration date
03/21/2006
Last updated
12/07/2010
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