Individual
MRS. HELEN MARY MUDDAMALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 MARNE RD, BOLINGBROOK, IL 60490-4597
(630) 226-1584
Mailing address
1900 MARNE RD, BOLINGBROOK, IL 60490-4597
(630) 226-1584
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.007383
IL
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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