Attaluri, Jayalakshmi

Attaluri, Jayalakshmi is an individual health care provider with primary practice located at 765 N Kellogg St Suite 205, Galesburg IL 61401-2875. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Attaluri, Jayalakshmi can be contacted via phone (309) 345-0394.

Contact Information

Primary practice address
765 N Kellogg St Suite 205 Galesburg IL 61401-2875
Phone: (309) 345-0394
Fax: (309) 345-0130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036074153 Illinois

Profile Details

NPI number 1245251255
LBN Legal business name Attaluri, Jayalakshmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Dec 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245251255 NPPES
Illinois Other 7215059 BCBS PPO
Illinois Other 035977 BCBS PPO
Illinois Other 260044754 BCBS PPO
Illinois MEDICAID 0360741531 BCBS PPO
Illinois Other 472292 BCBS PPO

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