Individual
ASOKUMAR BUVANENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1653 W CONGRESS PKWY, 735 JELKE, ANESTHESIA DEPARTMENT, CHICAGO, IL 60612-3833
(312) 942-6504
(312) 942-5773
Mailing address
1653 W CONGRESS PKWY, 735 JELKE, ANESTHESIA DEPARTMENT, CHICAGO, IL 60612-3833
(312) 942-6504
(312) 942-5773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036097070
IL
208600000X
Surgery Physician
036097070
IL
208VP0000X
Pain Medicine Physician
036097070
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036097070
IL
Other
Enumeration date
07/14/2006
Last updated
08/11/2014
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