Individual
DR. RAMESH BABU VEMURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
(815) 397-2712
Mailing address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
(815) 397-2712
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036054365
IL
2084P0802X
Addiction Psychiatry Physician
036.054365
IL
2084P0805X
Geriatric Psychiatry Physician
036.054365
IL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
036.054365
IL
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036054365
PHYSICIAN LICENSE
IL
Enumeration date
10/31/2006
Last updated
02/28/2017
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