| Kasturi, P.c. | |
|
1111 Superior St Suite 507 Melrose Park IL 60160-4138 | |
| (708) 681-4040 | |
| Not Available |
| Full Name | Kasturi, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Superior St, Melrose Park, Illinois |
| Authorized Official Name and Position | Jaya Kasturi (OWNER PHYSICIAN) |
| Authorized Official Contact | 6307180200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasturi, P.c. 1730 Park St Suite 101 Naperville IL 60563-2688 Ph: (630) 718-0200 | Kasturi, P.c. 1111 Superior St Suite 507 Melrose Park IL 60160-4138 Ph: (708) 681-4040 |
| NPI Number | 1871551184 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 02/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871551184 | NPI | - | NPPES |
| 31602382 | Other | IL | BLUE CROSS / BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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