Individual
DR. MEHER BALA MEDAVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
686 W BOUGHTON RD, BOLINGBROOK, IL 60440-1520
(630) 378-1234
(630) 378-1155
Mailing address
686 W BOUGHTON RD, BOLINGBROOK, IL 60440-1520
(630) 378-1234
(630) 378-1155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036072434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072434
—
IL
01
—
09921620
BCBS
—
Enumeration date
11/01/2006
Last updated
01/31/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us