Individual
HARIGOPAL SANDHYAVENU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 878-8700
Mailing address
4600 N CLARENDON AVE APT 1007, CHICAGO, IL 60640-5791
(646) 724-4824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.075358
IL
Other
Enumeration date
05/16/2019
Last updated
06/23/2020
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