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1417114620
SMITHA SURAVARAM
BLOOMINGDALE, IL
NPI
1417114620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036.128727)
Enumeration Date
2008-05-16
Last Update Date
2016-05-05
Business Address
Dr. SMITHA SURAVARAM MD
121 FAIRFIELD WAY STE 207
BLOOMINGDALE, IL 60108-1588
Phone number: 630-529-7427
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Mailing Address
Dr. SMITHA SURAVARAM MD
1497 BURBERRY LN
SCHAUMBURG, IL 60173-2187
Phone number: 507-271-6244
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