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1306208418
PRATYUSHA YADAVALLI
OAK LAWN, IL
NPI
1306208418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036.150495)
Enumeration Date
2016-03-28
Last Update Date
2019-12-20
Business Address
Dr. PRATYUSHA YADAVALLI M.D.
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-4000
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Mailing Address
Dr. PRATYUSHA YADAVALLI M.D.
801 S FINANCIAL PL APT 2108
CHICAGO, IL 60605-1795
Phone number: 630-210-4446
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