Individual
MOLLY J VADAKARA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5TH AND ROOSEVELT RD, HINES, IL 60141
(708) 202-8387
(708) 202-2490
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-003997
IL
Other
Enumeration date
06/08/2006
Last updated
05/14/2019
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