Individual
RAJYASREE EMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 S WOOD ST STE 130, DEPARTMENT OF PATHOLOGY MC 847, CHICAGO, IL 60612-4325
(312) 996-7312
Mailing address
840 S WOOD ST STE 130, DEPARTMENT OF PATHOLOGY MC 847, CHICAGO, IL 60612-4325
(312) 996-7312
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036-078489
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-078489
—
IL
Enumeration date
09/06/2006
Last updated
12/07/2011
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