Individual
DR. SRINIVASU KUSUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 167TH ST STE 900, CALUMET CITY, IL 60409-5407
(708) 647-7565
Mailing address
27702 NETWORK PL, CHICAGO, IL 60673-1277
(708) 862-7674
(708) 682-1781
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036.135648
IL
Other
Enumeration date
07/21/2008
Last updated
07/21/2022
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