Individual
VINAY KUMAR MIKKILINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
3102 KINGS RD, UNIT #3309, DALLAS, TX 75219-1316
(979) 848-7169
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.140300
IL
207R00000X
Internal Medicine Physician
036.140300
IL
Other
Enumeration date
04/16/2013
Last updated
02/27/2019
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