Individual
SANGEETHA VENKATARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 E 22ND ST STE D, LOMBARD, IL 60148-6102
(630) 426-4140
Mailing address
5201 WILLOW SPRINGS RD STE 320, LA GRANGE HIGHLANDS, IL 60525-6539
(708) 482-3213
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.150394
IL
207N00000X
Dermatology Physician
P7046
TX
207R00000X
Internal Medicine Physician
P7046
TX
Other
Enumeration date
05/11/2010
Last updated
05/19/2020
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