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Individual

SUJAYA P RUPANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
396 REMINGTON BLVD, SUITE 340, BOLINGBROOK, IL 60440-3466
(630) 759-9800
(630) 759-9858
Mailing address
9380 CASCADE CIR, BURR RIDGE, IL 60527-0712

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036065223
IL

Other

Enumeration date
05/15/2006
Last updated
02/19/2013
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