Organization
CARDIAC DIAGNOSIS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIVARAMAPRASAD TUMMALA M.D. (VICE PRESIDENT)
(708) 424-2024
Entity
Organization
Contact information
Practice address
4901 W 79TH ST, SUITE 7, BURBANK, IL 60459-1554
(708) 424-2024
(708) 424-2084
Mailing address
4901 W 79TH ST, SUITE 7, BURBANK, IL 60459-1554
(708) 424-2024
(708) 424-2084
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036048047
IL
Other
Enumeration date
07/17/2006
Last updated
07/15/2010
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