Organization
HEARTLAND PRIMARY CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRILAKSHMI VEMAREDDY M.D (PHYSICIAN)
(630) 854-3235
Entity
Organization
Contact information
Practice address
215 REMINGTON BLVD, SUITE F, BOLINGBROOK, IL 60440-3662
(630) 378-4880
(630) 378-4481
Mailing address
215 REMINGTON BLVD, SUITE F, BOLINGBROOK, IL 60440-3656
(630) 378-4880
(630) 378-4481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
336-071828
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036109580
LICENSE
IL
Enumeration date
05/03/2007
Last updated
12/31/2014
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