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Individual

DR. MARELLA L. HANUMADASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-3166
(312) 864-9545
Mailing address
227 WOOD GLEN LN, OAK BROOK, IL 60523-1530
(630) 530-4052
(630) 530-4173

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
IL

Other

Enumeration date
04/03/2007
Last updated
07/08/2007
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