Individual
VIJETA REDDY PAMUDURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7900 N MILWAUKEE AVE STE 19, NILES, IL 60714-3239
(815) 928-6274
Mailing address
7900 N MILWAUKEE AVE STE 19, NILES, IL 60714-3239
(847) 318-9595
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036.157040
IL
Other
Enumeration date
06/16/2015
Last updated
12/19/2021
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