Individual
MOHAMMAD MUNEEB PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 W MONTEREY AVE STE 7A, CHICAGO, IL 60643-4257
(708) 952-3040
Mailing address
210 S DESPLAINES ST, CHICAGO, IL 60661-5500
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036.134881
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03239136
—
NY
Enumeration date
10/09/2007
Last updated
11/22/2024
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