Individual
DR. BUDEIAH BOTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
(630) 545-5980
(630) 545-5984
Mailing address
701 WINTHROP AVE, SUITE 215, GLENDALE HEIGHTS, IL 60139-1405
(630) 856-6865
(630) 856-6813
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36056318
IL
Other
Enumeration date
05/11/2006
Last updated
02/12/2013
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