KAVANTISSA MONARAWILA KEPPETIPOLA MD
Individual Provider (NPI-1)
Active
Neurological Surgery
Provider Information
- NPI Number
1013475201- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 600 S PAULINA ST, CHICAGO, IL, 606123806
- Phone
- (312) 942-7100
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Neurological Surgery
Primary License: GA #113510
All Addresses
MAILING
600 S PAULINA ST
CHICAGO, IL, 606123806