Individual
VINEEL BEZAWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036.166653
IL
Other
Enumeration date
03/29/2018
Last updated
10/20/2023
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