Individual
SHRUTI S ERRAMILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5859
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5859
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036156551
IL
208M00000X
Hospitalist Physician
93216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036156551
—
IL
Enumeration date
03/28/2018
Last updated
10/26/2022
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