| NPI | 1811219017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA MULLAPUDI President 630-926-5409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036119143) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |