Doctor Name: | DR. MADHAVI N RAO |
NPI Number: | 1861507568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 036099167 |
Business Practice Address: | 4 Executive Ct Suite 3 South Barrington, IL - 600109519 |
Business Phone Number: | 8477564500 |
Business Fax Number: | 8477564501 |
Mailing Address: | 4 Executive Ct, Suite 3 SOUTH BARRINGTON |
State: | IL |
Postal Code: | 600109519 |
Phone Number: | 8477564500 |
Fax Number: | 8477564501 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 02/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036099167 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |