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Individual

SAI S RAMASASTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
820 S WOOD ST, 515 CSN, MC 958, CHICAGO, IL 60612-4325
(312) 996-9313
(312) 413-0495

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036087786
IL

Other

Enumeration date
11/14/2006
Last updated
06/24/2008
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