Individual
PRANEET POLINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 503-7975
Mailing address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
(312) 503-7975
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.082529
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2018
Last updated
06/29/2023
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