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1245792175
GOUTHAM KONDAPI
EVERGREEN PARK, IL
NPI
1245792175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: IL 036160201)
Enumeration Date
2019-04-01
Last Update Date
2024-09-18
Business Address
GOUTHAM KONDAPI
9125 S PULASKI RD
EVERGREEN PARK, IL 60805-1441
Phone number: 708-422-7715
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Mailing Address
GOUTHAM KONDAPI
120 W 22ND ST
OAK BROOK, IL 60523-1557
Phone number: 630-573-5000
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