Individual
DR. DIVYA MEHER SURABHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
5841 S MARYLAND AVE # MC2026, CHICAGO, IL 60637-1443
(773) 702-6024
Mailing address
5841 S MARYLAND AVE, MC 2026, CHICAGO, IL 60637-1443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.082291
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036.181208
IL
2085R0202X
Diagnostic Radiology Physician
Primary
125.082291
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
08/04/2026
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