| NPI | 1790064194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHNU MADIREDDY President 708-598-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036107138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 336053385) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |