Individual
DR. BAPUSHETTY R MADOORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6905 S WENTWORTH AVE, CHICAGO, IL 60621-3734
(773) 994-5607
Mailing address
15617 SUNSET RIDGE DR, ORLAND PARK, IL 60462-4925
(708) 460-0491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
10/23/2006
Last updated
07/09/2007
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