Individual
DR. HEMANTHA M SURATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2800 N SHERIDAN RD STE 309, CHICAGO, IL 60657-6160
(773) 348-4010
(773) 525-4022
Mailing address
2800 N SHERIDAN RD STE 309, CHICAGO, IL 60657-6160
(773) 348-4010
(773) 525-4022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-056232
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056232
—
IL
Enumeration date
12/01/2006
Last updated
03/24/2021
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