Organization
MM INFUSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANAN TRIVEDI MD (OWNER)
(630) 533-4028
Entity
Organization
Contact information
Practice address
1605 S MICHIGAN AVE UNIT 1, CHICAGO, IL 60616-1209
(630) 533-4028
Mailing address
16 N CARPENTER ST UNIT 4S, CHICAGO, IL 60607-2199
(630) 533-4028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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