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Organization
PRAGATHI CHALLA MD SC
Active
Organization
PRAGATHI CHALLA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAGATHI CHALLA MD (OWNER/PHYSICIAN)
(708) 364-0403
Entity
Organization
Contact information
Practice address
10771 163RD PL, ORLAND PARK, IL 60467-8861
(708) 364-0403
Mailing address
10771 163RD PL, ORLAND PARK, IL 60467-8861
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009932092
BCBS
IL
Enumeration date
05/23/2006
Last updated
07/16/2008
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