Individual
DR. SULOCHANA D YALAVARTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 INGALLS DR, CANCER CARE CENTER, HARVEY, IL 60426-3558
(708) 915-6620
(708) 915-3782
Mailing address
4647 LINCOLN HWY, MATTESON, IL 60443-2319
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036061179
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061179
—
IL
Enumeration date
07/28/2005
Last updated
11/25/2009
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