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1376621359
MEHER BALA MEDAVARAM
BOLINGBROOK, IL
NPI
1376621359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036072434)
Enumeration Date
2006-11-01
Last Update Date
2014-01-31
Business Address
Dr. MEHER BALA MEDAVARAM M.D.
686 W BOUGHTON RD
BOLINGBROOK, IL 60440-1520
Phone number: 630-378-1234
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Mailing Address
Dr. MEHER BALA MEDAVARAM M.D.
686 W BOUGHTON RD
BOLINGBROOK, IL 60440-1520
Phone number: 630-378-1234
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