Individual
RANIM MIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4021 W BELLE PLAINE AVE # GE, CHICAGO, IL 60641-2412
(312) 730-5620
Mailing address
4021 W BELLE PLAINE AVE # GE, CHICAGO, IL 60641-2412
(773) 619-3810
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
08323081
IL
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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