Organization
SUNT WANA MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNT WANA M.D. (PRESIDENT)
(630) 655-0024
Entity
Organization
Contact information
Practice address
8046 S COTTAGE GROVE AVE, CHICAGO, IL 60619-4004
(773) 723-2300
(773) 723-2301
Mailing address
160 RODGERS CT, WILLOWBROOK, IL 60527-5426
(630) 655-0024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
12/10/2007
Last updated
12/31/2007
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