Individual
SESHAGIRI RAO VAVILIKOLANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 E NORTH AVE, NORTHLAKE, IL 60164-2523
(989) 225-6493
Mailing address
165 1/2 E NORTH AVE, NORTHLAKE, IL 60164-2527
(989) 225-6493
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036070313
IL
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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