Individual
VINEETA THERESA SWAROOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6190
(312) 227-9404
Mailing address
225 E CHICAGO AVE, BOX 69, CHICAGO, IL 60611-2991
(312) 227-6190
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-120605
IL
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
036-120605
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120605-1
—
IL
05
—
036120605-2
—
IL
Enumeration date
04/25/2007
Last updated
01/31/2017
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