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1154333961
VASIREDDY BHOOPAL
PALOS HEIGHTS, IL
NPI
1154333961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: IL 036-056748)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Dr. VASIREDDY BHOOPAL m.d.,
12800 S RIDGELAND AVE SUITE E
PALOS HEIGHTS, IL 60463-2390
Phone number: 708-388-4911
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Mailing Address
Dr. VASIREDDY BHOOPAL m.d.,
14125 SCOTT LN
ORLAND PARK, IL 60462-6117
Phone number: 708-466-9039
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