Organization
GEORGINA SRINIVAS RAO, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA SRINIVAS RAO (OWNER)
(630) 262-2640
Entity
Organization
Contact information
Practice address
1024 W MAIN ST, SAINT CHARLES, IL 60174-1745
(630) 262-2640
(630) 262-2645
Mailing address
1024 W MAIN ST, SAINT CHARLES, IL 60174-1745
(630) 262-2640
(630) 262-2645
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036098889
IL
Other
Enumeration date
11/24/2008
Last updated
04/20/2022
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