Most Relevant Information
Provider Data
| NPI Number: | 1003385642 |
| Provider Name: | SUSHEELA JAYARAMAN MS |
| Entity Type: | Individual |
| Taxonomy Code: | 170300000X |
| Specialty: | Genetic Counselor, MS |
| License Number: | 247.000117 |
Most Important Dates
| Enumeration Date: | 11/13/2018 |
| Last Updated: | 11/13/2018 |
Provider Practice Location
225 E CHICAGO AVE # 59
CHICAGO
IL
606112991
Practice Location Phone/Fax
| Phone: | 3122276120 |
| Fax: | 3122279413 |
Provider Mailing Location
225 E CHICAGO AVE # 59
CHICAGO
IL
606112991
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |