Individual
BHAVANA MOVVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 E CONGRESS PKWY STE C, CRYSTAL LAKE, IL 60014-6202
(815) 301-1001
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1557
(630) 573-5000
(630) 368-0280
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036164249
IL
Other
Enumeration date
04/27/2020
Last updated
08/04/2025
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