Organization
GEETHA R CATTAMANCHI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETHA R CATTAMANCHI MD (OWNER / PHYSICIAN)
(708) 460-2663
Entity
Organization
Contact information
Practice address
10759 WINTERSET DR, UNIT A2, ORLAND PARK, IL 60467-1106
(708) 460-2663
Mailing address
10759 WINTERSET DR, UNIT A2, ORLAND PARK, IL 60467-1106
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001632293
BCBS
IL
Enumeration date
05/24/2006
Last updated
08/22/2020
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