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1245422666
LISA PUDUSSERI
PALOS HEIGHTS, IL
NPI
1245422666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL 036135453)
Enumeration Date
2007-08-10
Last Update Date
2022-03-01
Business Address
LISA PUDUSSERI DO
12255 S 80TH AVE STE 205
PALOS HEIGHTS, IL 60463-1284
Phone number: 708-923-4200
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Mailing Address
LISA PUDUSSERI DO
12255 S 80TH AVE STE 205
PALOS HEIGHTS, IL 60463-1284
Phone number: 708-923-4200
Copy
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