Organization
IYENGAR GERIATRIC HOSPITALIST SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH IYENGAR MD (OWNER)
(773) 697-3729
Entity
Organization
Contact information
Practice address
2674 N HALSTED ST, CHICAGO, IL 60614-2361
(773) 697-3729
Mailing address
720 S WELLS ST APT 2512, CHICAGO, IL 60607-4796
(773) 697-3729
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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