Individual
MADHAVI GADDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8535 W 79TH ST, JUSTICE, IL 60458-2281
(708) 458-7552
Mailing address
8535 W 79TH ST, JUSTICE, IL 60458-2281
(708) 458-7552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030281
IL
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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