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Individual

VEERASIKKU BOMMIASAMY

Active
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Individual

VEERASIKKU BOMMIASAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036051814
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360518141
IL
05
0360518146
IL
01
36051814
BLUE SHIELD
IL
01
P00347048
RAILROAD MEDICARE
IL
01
P00936471
RRMCARE THRU CESIISC (GES)
IL
Enumeration date
07/09/2006
Last updated
08/17/2011
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