Organization
SURIYA SASTRI, MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURIYA V SASTRI M.D. (PRESIDENT)
(630) 325-8684
Entity
Organization
Contact information
Practice address
6900 S MADISON ST, SUITE 102, WILLOWBROOK, IL 60527-5510
(630) 325-8684
(630) 325-2490
Mailing address
6900 MADISON STREET, SUITE - 102, WILLOWBROOK, IL 60527
(630) 325-8684
(630) 325-2490
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036068118
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068118
—
IL
Enumeration date
12/20/2011
Last updated
06/16/2018
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