Individual
KUCHALAMBAL AGADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 N MARINE DR, CHICAGO, IL 60640-8761
(773) 564-5225
Mailing address
4600 N MARINE DR, CHICAGO, IL 60640-8761
(773) 564-5225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.084981
IL
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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