Mysore N Shivaram MD SC
Mysore N Shivaram MD SC is an Addiction Medicine (Internal Medicine) Physician in Berwyn, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
6901 Cermak RdBerwyn, IL 60402-2160
Phone: (708) 484-5660
Fax: (708) 484-0194
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RA0401X · Licence 036044121 (IL) |
|---|
Record details
| NPI number | 1679888341 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mysore Shivaram — Physician · (708) 484-5660 |
| NPI enumerated | August 18, 2010 |
| Last updated in NPPES | October 15, 2014 |
| Mailing address | 6901 Cermak Rd, Berwyn, IL 60402-2160 |