Individual
DR. K RAMESH ADIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 799-8305
Mailing address
10660 W 143RD ST STE B, ORLAND PARK, IL 60462-1989
(708) 349-0055
(708) 460-8031
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036042780
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770003053
PALMETTO RR MEDICARE
IL
Enumeration date
12/12/2006
Last updated
05/16/2008
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