# VEENA NAYAK MD SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba Southland Rheumatology Center, Ltd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982793436
- **Authorized official:** WENDI L JEFFERS (OFFICE MANAGER)
- **Authorized official phone:** (708) 283-2600

## Contact information

- **Practice address:** 20060 GOVERNORS DR STE 300, OLYMPIA FIELDS, IL 60461-1099
- **Practice address phone:** (708) 283-2600
- **Mailing address:** 20060 GOVERNORS DR STE 300, OLYMPIA FIELDS, IL 60461-1099
- **Mailing address phone:** (708) 283-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 036094023 | IL | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 01/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001635621 | BLUE SHIELD PROVIDER | IL |