Individual
DHEERAJ DAVIS KALLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1757 NORTHWIND BLVD, LIBERTYVILLE, IL 60048-9617
(224) 206-0200
(224) 206-0201
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.010417
IL
Other
Enumeration date
07/09/2025
Last updated
07/11/2025
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