Individual
ANUSMITA TRIPATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637-1443
(773) 702-6760
Mailing address
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637-1443
(773) 702-6760
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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