Gannu, Rajyalakshmi

Gannu, Rajyalakshmi is an individual health care provider with primary practice located at 3001 Green Bay Rd , North Chicago IL 60064-3048. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gannu, Rajyalakshmi can be contacted via phone (224) 610-3871.

Contact Information

Primary practice address
3001 Green Bay Rd North Chicago IL 60064-3048
Phone: (224) 610-3871
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT188193 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08621900 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036136665 Illinois

Profile Details

NPI number 1770600769
LBN Legal business name Gannu, Rajyalakshmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Feb 26th, 2024 - about 9 months 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 1770600769 NPPES
New Jersey MEDICAID 0255629

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