NISHITA RAO VATTEM

KANKAKEE, IL
NPI1699468991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.081681)
Enumeration Date2023-06-01
Last Update Date2023-06-01
Business Address
NISHITA RAO VATTEM DO
350 N WALL ST
KANKAKEE, IL 60901-2991
Phone number: 167-181-5933
Mailing Address
NISHITA RAO VATTEM DO
350 N WALL ST
KANKAKEE, IL 60901-2991
Phone number: 167-181-5933