Individual
DR. SANUP PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A
Contact information
Practice address
1653 W CONGRESS PKWY, JELKE 739, CHICAGO, IL 60612-3833
(312) 942-6504
Mailing address
1653 W CONGRESS PKWY, JELKE 739, CHICAGO, IL 60612-3833
(312) 942-6504
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.058694
IL
Other
Enumeration date
06/23/2010
Last updated
12/17/2021
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