Individual
CHRISROSE VADAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8365 FARS CV, BURR RIDGE, IL 60527-7975
(630) 789-9483
Mailing address
8365 FARS CV, BURR RIDGE, IL 60527-7975
(630) 789-9483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015244
IL
Other
Enumeration date
03/19/2017
Last updated
03/19/2017
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