Individual
DR. ANITHA NIMMAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Mailing address
835 S WOLCOTT AVENUE, CHICAGO, IL 60612
(312) 413-0369
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036123612
IL
2083X0100X
Occupational Medicine Physician
036-123612
IL
Other
Enumeration date
03/30/2010
Last updated
07/01/2021
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