Individual
JAYARAM S MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 E HURON ST STE 16-738, CHICAGO, IL 60611-2908
(312) 926-5924
Mailing address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.077550
IL
208M00000X
Hospitalist Physician
036169600
IL
Other
Enumeration date
04/14/2021
Last updated
10/17/2024
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