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1336175207
PRABHAVATHI MARIYAPPA
CHICAGO, IL
NPI
1336175207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: IL 036-048399)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
Dr. PRABHAVATHI MARIYAPPA M.D.
1901 W HARRISON ST JOHN H. STROGER JR. HOSPITAL, DEPARTMENT OF PEDIATRICS
CHICAGO, IL 60612-3714
Phone number: 312-864-1523
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Mailing Address
Dr. PRABHAVATHI MARIYAPPA M.D.
1535 S MONTEREY AVE
VILLA PARK, IL 60181-3434
Phone number: 630-832-4159
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