Individual
HARI P GADDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 MADISON ST, L11, JOLIET, IL 60435-6569
(815) 744-5864
(815) 744-5862
Mailing address
330 MADISON ST, L11, JOLIET, IL 60435-6569
(815) 744-5864
(815) 744-5862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036089302
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036089302
IL
207RP1001X
Pulmonary Disease Physician
Primary
036089302
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089302
—
IL
01
—
09905905
BLUECROSS BLUESHIELD
IL
01
—
290015414
PALMETTO GBA-RAILROAD MED
—
01
—
303521
WELLCARE
—
05
—
7524536546043501
—
IL
Enumeration date
03/02/2006
Last updated
04/23/2008
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