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Individual
DR. MEERA GEORGE MADAPPALLIL
Active
Individual
DR. MEERA GEORGE MADAPPALLIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036104910
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104910
—
IL
01
—
209857
MEDICARE PTAN FOR DUPAGE COUNTY
IL
01
—
209858
MEDICARE PTAN FOR COOK COUNTY
IL
Enumeration date
05/26/2006
Last updated
02/04/2015
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