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Individual

CHITHRA POONGKUNRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
840 S WOOD ST STE 1222, CHICAGO, IL 60612-4325
(312) 996-1795
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.147787
IL
207R00000X
Internal Medicine Physician
46337
AZ
207R00000X
Internal Medicine Physician
U5206
TX
207RP1001X
Pulmonary Disease Physician
U5206
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036.147787
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
U5206
TX
2255A2300X
Athletic Trainer
Primary
036.147787
IL
390200000X
Student in an Organized Health Care Education/Training Program
57-015873
OH

Other

Enumeration date
07/09/2009
Last updated
10/02/2023
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