Individual
MARIA GERALDINESNEHA DEVANESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-9340
Mailing address
501 E 32ND ST APT 1913, CHICAGO, IL 60616-4082
(312) 709-3521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1932728961
IL
Other
Enumeration date
04/09/2020
Last updated
01/11/2022
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