Individual
SUMOL J NEDUMGOTTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3983
(773) 967-2000
Mailing address
925 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036111129
IL
207L00000X
Anesthesiology Physician
ME138392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111129
—
IL
Enumeration date
12/08/2006
Last updated
11/14/2024
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