Individual
DR. BHARATHI MARRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6972 FIELDSTONE DR, BURR RIDGE, IL 60527-6969
(630) 241-1495
(630) 241-1543
Mailing address
6972 FIELDSTONE DR, BURR RIDGE, IL 60527-6969
(630) 241-1495
(630) 241-1543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036089139
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089139
—
IL
Enumeration date
08/08/2006
Last updated
04/27/2021
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