Organization
KPR ENDOCRINOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHA K YALAMANCHI M.D. (SOLE MEMBER)
(630) 487-3736
Entity
Organization
Contact information
Practice address
621 PLAINFIELD RD, ST 107, WILLOWBROOK, IL 60527-5343
(708) 446-7527
Mailing address
20 GLENDALE AVE, HINSDALE, IL 60521-2829
(630) 487-3736
(630) 487-3738
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036121291
IL
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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