Individual
MAMTA SWAROOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
676 N SAINT CLAIR ST, STE 650, CHICAGO, IL 60611-2927
(312) 695-3644
Mailing address
676 N SAINT CLAIR ST, STE 650, CHICAGO, IL 60611-2927
(312) 695-3644
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
55407
IL
390200000X
Student in an Organized Health Care Education/Training Program
TRN11709
FL
Other
Enumeration date
09/26/2007
Last updated
06/28/2010
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