Individual
DR. MADHUKAR DAMERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(877) 635-9229
(847) 618-3259
Mailing address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(877) 635-9229
(847) 618-3259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036111867
IL
208M00000X
Hospitalist Physician
Primary
036111867
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111867
—
IL
Enumeration date
05/24/2006
Last updated
04/28/2021
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