Organization
RAO UPPUULURI, M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRAN M NORRIS (OFFICE MANAGER)
(708) 957-0021
Entity
Organization
Contact information
Practice address
17901 GOVERNORS HWY, SUITE 202, HOMEWOOD, IL 60430-1144
(708) 957-0221
(708) 957-4519
Mailing address
17901 GOVERNORS HWY, SUITE 202, HOMEWOOD, IL 60430-1144
(708) 957-0221
(708) 957-4519
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085005481
IL
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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