SUDARSHAWN DAMODHARAN

CHICAGO, IL
NPI1871029819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WI  036164635)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-11
Last Update Date2024-08-07
Business Address
SUDARSHAWN DAMODHARAN
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 773-702-1000
Mailing Address
SUDARSHAWN DAMODHARAN
150 HARVESTER DR STE 300
BURR RIDGE, IL 60527-5965
Phone number: