Individual
DR. ANITA SURESH VELAGAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
472 ROUTE 47, SUGAR GROVE, IL 60554-8107
(630) 466-6000
(630) 466-6001
Mailing address
1256 WATERFORD DRIVE, SUITE 230, AURORA, IL 60504
(630) 499-2404
(630) 499-2399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036086960
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036086960
STATE LICENSE
IL
Enumeration date
12/29/2006
Last updated
02/07/2019
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