Organization
NITS N NATS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HRISANTHI ZHUPA (VICE PRESIDENT)
(708) 902-6414
Entity
Organization
Contact information
Practice address
7253 W TOUHY AVE, CHICAGO, IL 60631-4326
(708) 831-4978
Mailing address
7253 W TOUHY AVE, CHICAGO, IL 60631-4326
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2437576
IL
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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