Individual
MADHUSUDHAN TARIGOPULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 234-5600
(847) 535-7203
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 234-5600
(847) 535-7203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01083788A
IN
207R00000X
Internal Medicine Physician
036144200
IL
207R00000X
Internal Medicine Physician
35.125738
OH
207R00000X
Internal Medicine Physician
65845-20
WI
207R00000X
Internal Medicine Physician
MD13086
RI
208M00000X
Hospitalist Physician
Primary
036144200
IL
208M00000X
Hospitalist Physician
65845
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MT77368
—
RI
Enumeration date
05/25/2007
Last updated
04/05/2022
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