Individual
PABBISETTY V RAMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8711 W CERMAK RD, NORTH RIVERSIDE, IL 60546-1166
(708) 442-7979
(708) 442-8574
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
(708) 532-6029
(708) 532-6095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036057530
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057530
—
IL
Enumeration date
08/24/2005
Last updated
08/25/2015
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