MAHIMA VEMUGANTI

MELROSE PARK, IL
NPI1598470346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085009560)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2023-01-17
Last Update Date2023-05-31
Business Address
MAHIMA VEMUGANTI
701 W NORTH AVE
MELROSE PARK, IL 60160-1612
Phone number: 708-681-3200
Mailing Address
MAHIMA VEMUGANTI
701 W NORTH AVE
MELROSE PARK, IL 60160-1612
Phone number: