Organization
P N SOMPALLI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENCHALLI N SOMPALLI M.D. (PRESIDENT)
(708) 430-2400
Entity
Organization
Contact information
Practice address
6084 S ARCHER AVE, CHICAGO, IL 60638-2747
(708) 430-2400
Mailing address
8700 W 95TH ST, SUITE 6, HICKORY HILLS, IL 60457-2700
(708) 430-2400
(708) 430-2417
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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