Vadali, Maitrayee Sundaresan

Vadali, Maitrayee Sundaresan is an individual health care provider with primary practice located at 12251 S 80Th Ave Ste 1520 , Palos Heights IL 60463-1290. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Vadali, Maitrayee Sundaresan can be contacted via phone (708) 923-4200.

Contact Information

Primary practice address
12251 S 80Th Ave Ste 1520 Palos Heights IL 60463-1290
Phone: (708) 923-4200
Fax: (708) 923-4201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036102767 Illinois

Profile Details

NPI number 1013900851
LBN Legal business name Vadali, Maitrayee Sundaresan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Nov 30th, 2023 - about last year

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 1013900851 NPPES
Illinois MEDICAID 036102767
Illinois Other P00157926
Illinois Other 21622931
Illinois Other CI8250

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