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1972189314
SUPRITHA POTTUMARTHI PRASAD
CHICAGO, IL
NPI
1972189314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036170014)
Enumeration Date
2021-03-23
Last Update Date
2024-07-17
Business Address
SUPRITHA POTTUMARTHI PRASAD MD
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
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Mailing Address
SUPRITHA POTTUMARTHI PRASAD MD
840 S WOOD ST RM 427
CHICAGO, IL 60612-4325
Phone number: 312-996-7836
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