Raghavendra G. Mirmira
Endocrinologist (Diabetes Doctor) Pediatric Endocrinologist
5841 S Maryland Ave # Mc1027
Chicago
, Illinois 60637-1443
Raghavendra G. Mirmira
Endocrinologist (Diabetes Doctor) Pediatric Endocrinologist
5841 S Maryland Ave # Mc1027
Chicago
, Illinois 60637-1443
(773) 702-1061
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Raghavendra G. Mirmira
- 150 Harvester Dr Ste 300
- Burr Ridge, IL
- Zip : 60527-5965
- Phone : (773) 702-1061
Second Address
- Raghavendra G. Mirmira
- 5841 S Maryland Ave # Mc1027
- Chicago, IL
- Zip : 60637-1443
- Phone : (773) 702-1000
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 036150587 | IL |
| N | 2080P0205X | Pediatric Endocrinologist | 01064670 | IN |
National Provider Identifier
| NPI | 1417099771 |
|---|---|
| Provider Name | Raghavendra G. Mirmira |
| First Address | Burr Ridge, IL 60527-5965 |
| Second Address | Chicago, IL 60637-1443 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2007 |
| Last Update Date | 04/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200897030 | (05) | IN |
| H22276 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.