Organization
INTEGRATIVE HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANGALORE MURTHY M.D. (PRESIDENT)
(773) 947-2486
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE, SUITE 164, CHICAGO, IL 60649-3954
(773) 947-2486
Mailing address
7531 S STONY ISLAND AVE, SUITE 164, CHICAGO, IL 60649-3954
(773) 947-2486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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