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Individual

DR. VIJAY YELDANDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 SUPERIOR ST, 5TH FLOOR, MELROSE PARK, IL 60160-4055
(773) 205-4661
(708) 938-7098
Mailing address
1200 SUPERIOR ST, 5TH FLOOR, MELROSE PARK, IL 60160-4055
(773) 205-4661
(708) 938-7098

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036-069861
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-069-861
IL
Enumeration date
09/22/2005
Last updated
01/27/2014
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