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Individual

DR. GOPICHAND THREEPURANENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
1740 W TAYLOR ST, UNIVERSITY OF ILLINOIS, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
401 W FULLERTON PKWY, APPARTMENT 1706E, CHICAGO, IL 60614-2868
(773) 280-1637

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125.060684
IL

Other

Enumeration date
08/29/2011
Last updated
08/29/2011
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