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1508863655
SURESH C HATHIWALA
CHICAGO, IL
NPI
1508863655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: IL 036054352)
Enumeration Date
2005-07-05
Last Update Date
2007-09-06
Business Address
-- SURESH C HATHIWALA MD
CALIFORNIA AVE 15TH STREET DEPT OF MEDICINE
CHICAGO, IL 60608-1797
Phone number: 773-257-6552
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Mailing Address
-- SURESH C HATHIWALA MD
1214 N KENILWORTH AVE
OAK PARK, IL 60302-1237
Phone number: 708-383-6996
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