Individual
NAGULAPALLI S RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ERIE CT, STE 7160, OAK PARK, IL 60302-2510
(708) 386-4487
(708) 386-4459
Mailing address
1 ERIE CT, STE 7160, OAK PARK, IL 60302-2510
(708) 386-4487
(708) 386-4459
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36046296
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21604882
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/16/2005
Last updated
07/08/2007
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