Individual
DR. SRILAKSHMI MAGULURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 W IRVING PARK RD, CHICAGO, IL 60613-3099
(504) 813-4218
Mailing address
PO BOX 10616, CHICAGO, IL 60610-0616
(504) 813-4218
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036118718
IL
207W00000X
Ophthalmology Physician
241473
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.118718
—
IL
Enumeration date
03/27/2007
Last updated
07/01/2009
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