Individual
DR. VASANTHA J SASTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19550 GOVERNORS HWY, SUITE 2300, FLOSSMOOR, IL 60422-2125
(708) 798-0200
Mailing address
PO BOX 1119, MATTESON, IL 60443-4119
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036048841
IL
207VG0400X
Gynecology Physician
Primary
036-048841
IL
Other
Enumeration date
07/18/2005
Last updated
11/25/2009
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