Individual
MISS MEGHANA BABU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
1501 E THOMAS ST, MACOMB, IL 61455-3417
(217) 779-8661
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125.078955
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
06/16/2021
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