Individual
KEERTHANA MANJUNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 W POLK ST STE 5210, CHICAGO, IL 60612-3723
(312) 864-7311
Mailing address
513 S DAMEN AVE APT 1802, CHICAGO, IL 60612-5596
(312) 221-6462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.085279
IL
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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