Individual
DR. VENKATA SUBBA RAO UPPULURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17901 GOVERNORS HWY, SUITE 202, HOMEWOOD, IL 60430-1144
(708) 957-0220
(708) 957-4519
Mailing address
17901 GOVERNORS HWY, SUITE 202, HOMEWOOD, IL 60430-1144
(708) 957-0220
(708) 957-4519
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036053509
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053509
—
IL
Enumeration date
10/10/2006
Last updated
07/08/2007
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