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Individual

DR. EUGENE C ANANDAPPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 E CHICAGO AVE # 9, CHICAGO, IL 60611-2991
(312) 227-4500
(312) 227-9785
Mailing address
225 E CHICAGO AVE # 9, CHICAGO, IL 60611-2991
(312) 227-4500
(312) 227-9785

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036046421
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021622158
CMMG BLUE SHIELD NUMBER
IL
05
036046421
IL
Enumeration date
07/29/2005
Last updated
11/12/2019
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