Jayasri Dasar Raju M.D.

NPI 1679748552 - Family Medicine - 207Q00000X

NPI Details
NPI 1679748552
Gender Female
Enumeration Date 04/23/2008
Last Updated 09/08/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
17680 KEDZIE AVE
201
HAZEL CREST IL, 60429-2043, US
Phone (708) 799-2499
Fax
Business Location
1318 S FINLEY RD
APT 1D
LOMBARD IL, 60148-4316, US
Phone (603) 218-9800
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036126409
Remove 1679748552 NPI Number
 

According to our database, Dr. Jayasri Dasar Raju M.D. NPI is 1679748552, taxonomy code is 207Q00000X and license number is 036126409, license state is located at Illinois. Jayasri Dasar Raju M.D. physically located at 17680 Kedzie Ave, Hazel Crest IL, 60429-2043. NPI Number Jayasri Dasar Raju M.D. has the Individual type.

Sponsored links

1679748552 NPI number is provided on an as is basis without warranty of any kind. 1679748552 is maintained by the National Plan & Provider Enumeration System. The contents of Jayasri Dasar Raju M.D. are for informational purposes only.