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1053616821
VARDHAN K MUDIGONDA
OSWEGO, IL
NPI
1053616821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.016507)
Enumeration Date
2011-01-25
Last Update Date
2019-09-13
Business Address
VARDHAN K MUDIGONDA DPT
2872 US HIGHWAY 34
OSWEGO, IL 60543-8346
Phone number: 630-554-8890
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Mailing Address
VARDHAN K MUDIGONDA DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6250
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