Individual
DR. SIREESHA ALLAMNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4440 W 95TH STREET, OAK LAWN, IL 60453
(708) 684-5428
Mailing address
4440 W 95TH STREET, OAK LAWN, IL 60453
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036126032
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036126032
STATE OF IL DIVISION OF PROFESSIONAL REGULATION
IL
Enumeration date
09/26/2008
Last updated
06/29/2010
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