Individual
DR. MADHU S.R. GORLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2640 PATRIOT BLVD, SUITE 100, GLENVIEW, IL 60026-8075
(847) 510-6000
(847) 832-0905
Mailing address
2640 PATRIOT BLVD, SUITE 100, GLENVIEW, IL 60026-8075
(847) 510-6000
(847) 832-0905
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-105622
IL
Other
Enumeration date
07/09/2006
Last updated
03/17/2009
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