Provider / Organization | NPI | Date Certified |
---|---|---|
TARINI MITRA | 1568176527 | 2024-06-09 |
Tarini Mitra is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568176527. Registration indicates Tarini Mitra is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Tarini Mitra |
Practice Office Address | 251 E HURON ST CHICAGO, IL US |
Practice Office Telephone | 3129262000 |
Mailing Address | 251 E HURON ST CHICAGO, IL 606112908 US |
Code | Practice | License No State |
---|---|---|
207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 125.084025
IL |