Individual
DR. DEBASREE GHOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6374 N LINCOLN AVE STE 203, CHICAGO, IL 60659-1219
(773) 509-0023
(773) 509-1839
Mailing address
6374 N LINCOLN AVE STE 203, CHICAGO, IL 60659-1219
(773) 509-0023
(773) 509-1839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.124726
IL
Other
Enumeration date
05/18/2010
Last updated
09/09/2013
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