BERTRAM H NANAYAKKARA

ROCKFORD, IL
NPI1437150570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036-067957)
Enumeration Date2005-08-10
Last Update Date2024-06-01
Business Address
-- BERTRAM H NANAYAKKARA MD FAAP
5695 STRATHMOOR DR SUITE 3
ROCKFORD, IL 61107-5192
Phone number: 779-696-1150
Mailing Address
-- BERTRAM H NANAYAKKARA MD FAAP
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number: 779-696-7150
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