Thota, Vijayalakshmi
Thota, Vijayalakshmi is an individual health care provider with primary practice located at 15300 West Avenue, Suite 223 , Orland Park IL 60462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Thota, Vijayalakshmi can be contacted via phone (708) 923-7874.Contact Information
Primary practice address
15300 West Avenue, Suite 223
Orland Park IL 60462
Phone: (708) 923-7874
Fax: (708) 923-7876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036088719 | Illinois |
Profile Details
| NPI number | 1972501039 |
|---|---|
| LBN Legal business name | Thota, Vijayalakshmi |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Feb 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972501039 | NPPES |
| Illinois | MEDICAID | 036088719 |
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