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Individual

MRS. RATNA PRIYA KANUMURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1901 W HARRISON ST, JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1302 W 33RD ST, CHICAGO, IL 60608-6359
(773) 376-7351
(773) 753-5990

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001042
IL
363AM0700X
Medical Physician Assistant
085-001042
IL

Other

Enumeration date
08/12/2006
Last updated
04/26/2021
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