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Organization
DUPAGE INTERNAL MEDICINE OF ILLINOIS LLC
Active
Organization
DUPAGE INTERNAL MEDICINE OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRABHU SHIVALINGAPPA M.D. (PRESIDENT)
(630) 323-7833
Entity
Organization
Contact information
Practice address
534 CHESTNUT DR, SUITE 210, HINSDALE, IL 60521-3527
(630) 323-7833
(630) 323-7410
Mailing address
40 S CLAY ST STE 210W, HINSDALE, IL 60521-8805
(630) 323-7833
(630) 323-7410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/22/2019
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