Individual
MRINALINI VENKATA SUBRAMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-1800
(312) 695-4741
Mailing address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-1800
(312) 695-4741
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MT214837
PA
207RP1001X
Pulmonary Disease Physician
Primary
036161682
IL
207RP1001X
Pulmonary Disease Physician
MT214837
PA
Other
Enumeration date
06/30/2015
Last updated
11/02/2022
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