Individual
KETAN YERNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER, 240 EAST HURON STREET, SUITE 1-200, CHICAGO, IL 60611
(312) 503-7975
Mailing address
NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER, 240 EAST HURON STREET, SUITE 1-200, CHICAGO, IL 60611
(312) 503-7975
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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