Individual
AJAY ARUMANAYAGAM SELVARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-2000
Mailing address
2801 S KING DR APT 1510, CHICAGO, IL 60616-3472
(312) 375-5570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125072866
IL
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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