Individual
SRI PREETHI GUNNALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE, ILLINOIS MASONIC MEDICAL CENTER- DEPT OF RADIOLOGY, CHICAGO, IL 60657-5147
(773) 296-7820
Mailing address
836 W WELLINGTON AVE, ILLINOIS MASONIC MEDICAL CENTER- DEPT OF RADIOLOGY, CHICAGO, IL 60657-5147
(772) 296-7820
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
036128403
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2008
Last updated
07/02/2014
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