Individual
RAVI THEJA VENKAT CHINTAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE # MC2026, CHICAGO, IL 60637-1443
(773) 702-3550
Mailing address
180 HARVESTER DR STE 300, BURR RIDGE, IL 60527-7594
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125.078209
IL
Other
Enumeration date
04/28/2021
Last updated
06/08/2022
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