Individual
DR. ANANDAVALLY PILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
036087425
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036-087425
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087425
—
IL
01
—
09932356
BC/BS
IL
Enumeration date
09/15/2005
Last updated
09/22/2011
Update your record
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