Individual
DR. SHOBHA LAKSHMI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, 325 JONES, CHICAGO, IL 60612-3833
(312) 942-4200
(312) 942-3568
Mailing address
1653 W CONGRESS PKWY, 325 JONES, CHICAGO, IL 60612-3833
(312) 942-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116463
IL
207R00000X
Internal Medicine Physician
4301079554
MI
208M00000X
Hospitalist Physician
Primary
036-116463
IL
Other
Enumeration date
07/15/2006
Last updated
05/25/2022
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