Organization · Type 2 NPI

Bapushetty Madoori MD SC

Primary Care Clinic/Center · Chicago, IL

NPI number 1508018326 Active

Practice location

6905 S Wentworth Ave
Chicago, IL 60621-3734

Call (708) 590-9805 Map

Mailing address

15617 Sunset Ridge Dr
Orland Park, IL 60462-4925

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X036057250 (IL)

Primary Care Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1508018326

Bapushetty Madoori MD SC's National Provider Identifier is 1508018326, issued on Oct 13, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Chicago, IL. The record was last updated on Oct 13, 2008.