Individual
VISVANATHA V GIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
903 129TH INFANTRY DR, SUITE 400, JOLIET, IL 60435-3171
(815) 725-2653
(815) 744-3232
Mailing address
903 129TH INFANTRY DR, SUITE 400, JOLIET, IL 60435-3171
(815) 725-2653
(815) 744-3232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-096329
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036-096329
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096329
—
IL
01
—
P00062390
PALMETTO RR MEDICARE
IL
Enumeration date
08/17/2005
Last updated
09/16/2008
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