Individual
KAVITHA SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1435 WAUKEGAN RD, GLENVIEW, IL 60025-2120
(847) 832-6500
(847) 832-6040
Mailing address
2650 RIDGE AVE, EVANSTON HOPSITAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-112452
IL
Other
Enumeration date
12/08/2006
Last updated
02/10/2021
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