Individual
MADHU GUNDAVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1340 RYAN PKWY, ALGONQUIN, IL 60102-4527
(815) 477-7350
(773) 978-0705
Mailing address
1340 RYAN PKWY, ALGONQUIN, IL 60102-4527
(815) 477-7350
(773) 978-0705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036112955
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112955
—
IL
Enumeration date
07/21/2006
Last updated
12/21/2021
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