Organization
VEENA NAYAK MD SC
Active
Other names
dba Southland Rheumatology Center, Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI L JEFFERS (OFFICE MANAGER)
(708) 283-2600
Entity
Organization
Contact information
Practice address
20060 GOVERNORS DR STE 300, OLYMPIA FIELDS, IL 60461-1099
(708) 283-2600
Mailing address
20060 GOVERNORS DR STE 300, OLYMPIA FIELDS, IL 60461-1099
(708) 283-2600
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036094023
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001635621
BLUE SHIELD PROVIDER
IL
Enumeration date
10/12/2006
Last updated
01/13/2009
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