Individual
LAKSHMI SIVARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E SUPERIOR ST, RUBLOFF 12TH FLOOR, CHICAGO, IL 60611-4494
(312) 503-7975
Mailing address
903 N 129TH INFANTRY DR, STE 400, JOLIET, IL 60435-5002
(630) 989-3238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036139858
IL
207RP1001X
Pulmonary Disease Physician
036139858
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2013
Last updated
05/23/2019
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