SWABNA K SHANMUGIAVELAYUTHAM

MAYWOOD, IL
NPI1043874498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  125077109)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-30
Last Update Date2022-08-21
Business Address
SWABNA K SHANMUGIAVELAYUTHAM MD
2160 S 1ST AVE # 1
MAYWOOD, IL 60153-3328
Phone number: 630-335-1652
Mailing Address
SWABNA K SHANMUGIAVELAYUTHAM MD
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064-3037
Phone number: