Individual
DR. AJITHA PARUCHURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
956 N NELTNOR BLVD, SUITE-316, WEST CHICAGO, IL 60185-5982
(630) 293-7777
(630) 293-7778
Mailing address
3080 HOPEWELL DR, AURORA, IL 60502-7035
(630) 229-5469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9176632
—
IL
Enumeration date
10/10/2005
Last updated
09/04/2007
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