Individual
DR. BALASUBRAMANIAM S IYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1945 W WILSON AVENUE, SUITE #2115, CHICAGO, IL 60640-5255
(773) 878-5225
(773) 878-5661
Mailing address
1945 W WILSON AVENUE, SUITE #2115, CHICAGO, IL 60640-5255
(773) 878-5225
(773) 878-5661
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036046165
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036046165
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36046165
—
IL
Enumeration date
02/21/2007
Last updated
04/21/2010
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