Individual
KIRAN GUJRATI MANJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1555 BARRINGTON RD, HOFFMAN ESTATES, IL 60169-1019
(630) 581-6538
Mailing address
787 GRACELAND AVE UNIT 508, DES PLAINES, IL 60016-8631
(242) 769-6982
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
76557
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356836274
—
WI
Enumeration date
06/22/2018
Last updated
08/07/2023
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