Vijayalakshmi Thota Do Sc

NPI 1801081112 - Internal Medicine - 207R00000X

NPI Details
NPI 1801081112
Enumeration Date 09/10/2007
Last Updated 07/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VIJAYALAKSHMI VIJAYALAKSHMI
Position OWNER/PHYSICIAN
Phone (708) 349-6713
Fax
Practice Location
15300 WEST AVE
SUITE 303
ORLAND PARK IL, 60462-4600, US
Phone (708) 349-6713
Fax
Business Location
15300 WEST AVE
SUITE 303
ORLAND PARK IL, 60462-4600, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036088719
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According to our database, Vijayalakshmi Thota Do Sc NPI is 1801081112, taxonomy code is 207R00000X and license number is 036088719, license state is located at Illinois. Vijayalakshmi Thota Do Sc physically located at 15300 West Ave, Orland Park IL, 60462-4600. NPI Number 1033115704 has the healthcare provider type.

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1801081112 NPI number is provided on an as is basis without warranty of any kind. 1801081112 is maintained by the National Plan & Provider Enumeration System. The contents of Vijayalakshmi Thota Do Sc are for informational purposes only.