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Contact Information

MADHURI V KONANAHALLI, MD
1000 CENTRAL ST STE 800
EVANSTON, IL60201
 Phone: 847-663-8060
 Fax: 847-663-1027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MADHURI V KONANAHALLI · (Female)

NPI Number 1568656130
Status Active
Credentials MD
Entity Individual
Enumeration date 08/28/2007
Last updated 07/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036118314
Hospital affiliation(s)
  • EVANSTON HOSPITAL - (Acute Care)
    2650 RIDGE AVE
    EVANSTON, IL 60201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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