Individual
SURIYA SASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6900 S MADISON ST STE 102, WILLOWBROOK, IL 60527-8433
(630) 325-8684
(630) 325-2490
Mailing address
6900 S MADISON ST STE 102, WILLOWBROOK, IL 60527-8433
(630) 325-8684
(630) 325-2490
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036068118
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068118
—
IL
Enumeration date
04/27/2006
Last updated
01/11/2024
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