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1417230954
TALENTSHIA VETHANAYAGAMONY
MAYWOOD, IL
NPI
1417230954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 125059362)
Enumeration Date
2011-09-21
Last Update Date
2012-07-06
Business Address
Dr. TALENTSHIA VETHANAYAGAMONY M.D.
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-1084
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Mailing Address
Dr. TALENTSHIA VETHANAYAGAMONY M.D.
218 S CRANBERRY ST
BOLINGBROOK, IL 60490-2063
Phone number: 630-226-0825
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