Individual
DR. LAKSHMI DODDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1625 E 75TH ST, FIRST FLOOR, CHICAGO, IL 60649-3603
(773) 947-7314
(773) 947-2487
Mailing address
1625 E 75TH ST, FIRST FLOOR, CHICAGO, IL 60649-3603
(773) 947-7314
(773) 947-2487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-073152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-073152
—
IL
Enumeration date
07/18/2006
Last updated
04/24/2013
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