Individual
AMISHI S MURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 RIDGE AVE, SUITE 211A, EVANSTON, IL 60201-2455
(847) 328-7909
Mailing address
2500 RIDGE AVE, SUITE 211A, EVANSTON, IL 60201-2455
(847) 328-7909
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036113859
IL
2080P0201X
Pediatric Allergy/Immunology Physician
036113859
IL
Other
Enumeration date
06/06/2007
Last updated
07/25/2012
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