Individual
DR. MADHAVI MANUBOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1331 W 75TH ST STE 202, NAPERVILLE, IL 60540-9311
(630) 305-3025
(630) 995-3876
Mailing address
1331 W 75TH ST STE 202, NAPERVILLE, IL 60540-9311
(630) 305-3025
(630) 995-3876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036115243
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115243
—
IL
Enumeration date
11/22/2006
Last updated
02/25/2021
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