AMITHA MUSHYAM

CRYSTAL LAKE, IL
NPI1972729283
Former NameAMITHA S YANAMADULA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036120455)
Enumeration Date2007-04-17
Last Update Date2018-10-19
Business Address
Mrs. AMITHA MUSHYAM M.D.
360 STATION DR
CRYSTAL LAKE, IL 60014
Phone number: 815-338-6600
Mailing Address
Mrs. AMITHA MUSHYAM M.D.
360 STATION DR
CRYSTAL LAKE, IL 60014-7978
Phone number: 815-338-6600
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