| Madhu Gundavaram Md Sc | |
|
326 W 64th St Chicago IL 60621-3114 | |
| (773) 962-3900 | |
| Not Available |
| Full Name | Madhu Gundavaram Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 326 W 64th St, Chicago, Illinois |
| Authorized Official Name and Position | Madhu S Gundavaram (PRESIDENT) |
| Authorized Official Contact | 7733540210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madhu Gundavaram Md Sc 655 W Hobbie St Chicago IL 60610-2433 Ph: (773) 354-0210 | Madhu Gundavaram Md Sc 326 W 64th St Chicago IL 60621-3114 Ph: (773) 962-3900 |
| NPI Number | 1144552126 |
|---|---|
| Provider Enumeration Date | 02/02/2010 |
| Last Update Date | 02/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144552126 | NPI | - | NPPES |
| 036112955 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036112955 (Illinois) | Primary |
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