Individual
SHARANYA NAKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5101 WILLOW SPRING RD, LAGRANGE, IL 60525
(312) 513-9904
Mailing address
5101 WILLOW SPRINGS RD, LA GRANGE, IL 60525-2600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5277
ID
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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