Organization
GAVANI & KANURI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMA DEVI GAVANI M.D. (OWNER)
(708) 636-9611
Entity
Organization
Contact information
Practice address
4400 W. 95TH STREET, SUITE 406, OAK LAWN, IL 60453
(708) 636-9611
(708) 636-6577
Mailing address
4400 W. 95TH STREET, SUITE 406, OAK LAWN, IL 60453
(708) 636-9611
(708) 636-6577
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036051637
IL
Other
Enumeration date
12/02/2010
Last updated
01/11/2011
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