Individual
SURESH TALATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3435 W VAN BUREN ST, LOWER LEVEL, CHICAGO, IL 60624-3312
(773) 265-0300
(773) 265-8467
Mailing address
3435 W VAN BUREN ST, LOWER LEVEL, CHICAGO, IL 60624-3312
(773) 265-0300
(773) 265-8467
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-056413
IL
Other
Enumeration date
10/25/2006
Last updated
05/21/2012
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