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1427611565
VINAYA RAMESH SOUNDARARAJAN
LA GRANGE, IL
NPI
1427611565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: IL 036172297)
Enumeration Date
2019-04-15
Last Update Date
2024-11-05
Business Address
VINAYA RAMESH SOUNDARARAJAN MD
1415 W 47TH ST
LA GRANGE, IL 60525-6136
Phone number: 219-878-5020
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Mailing Address
VINAYA RAMESH SOUNDARARAJAN MD
1311 S RIDGE RD
WILLOWBROOK, IL 60527-1921
Phone number: 630-362-4283
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