Individual
SUBBA V RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17850 KEDZIE, SUITE 3000, HAZEL CREST, IL 60429-2058
(708) 798-7878
(630) 887-9566
Mailing address
PO BOX 22, HINSDALE, IL 60522-0022
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036047207
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047207
—
IL
Enumeration date
10/03/2005
Last updated
02/28/2014
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