Individual
KIRAN SRIRAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1340 S DAMEN AVE STE 400, CHICAGO, IL 60608-1169
(773) 292-4800
(312) 564-4059
Mailing address
1340 S DAMEN AVE STE 400, CHICAGO, IL 60608-1169
(773) 292-4800
(312) 564-4059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-087528
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-087528
LIC PHY
IL
Enumeration date
01/29/2007
Last updated
10/14/2020
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