Individual
PADMAJA GUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1870 W GALENA BLVD, AURORA, IL 60506-4356
(630) 859-6700
Mailing address
1870 W GALENA BLVD, AURORA, IL 60506-4356
(630) 859-6700
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-113685
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113685
—
IL
01
—
04515143
BCBS
IL
Enumeration date
09/18/2008
Last updated
05/17/2011
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