Individual
MADHAVI GOPARAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3000
Mailing address
528 W OAKDALE AVE, APT # 425, CHICAGO, IL 60657-5751
(312) 213-5642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125050613
IL
Other
Enumeration date
05/10/2007
Last updated
11/03/2021
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