Individual
DR. HORTANCIA G. PUTHUMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CANCER TREATMENT CENTER OF AMERICA, 2520 ELISHA AVENUE, ZION, IL 60099
(800) 322-9183
Mailing address
CANCER TREATMENT CENTER OF AMERICA, 2361 PAYSPHERE CIRCLE, CHICAGO, IL 60674
(800) 322-9183
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036061834
IL
208VP0014X
Interventional Pain Medicine Physician
036061834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061834
—
IL
Enumeration date
05/31/2006
Last updated
02/12/2020
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