| NPI | 1417159385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHNU MADIREDDY Physician 708-715-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-091869) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |