Individual
SANKARA R PERURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S MILWAUKEE RD, LIBERTYVILLE, IL 60048-3199
(847) 362-2900
Mailing address
801 S MILWAUKEE RD, LIBERTYVILLE, IL 60048-3199
(847) 362-2900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360488201
—
IL
Enumeration date
07/15/2006
Last updated
07/08/2007
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