NPI 1073020756

Nanda Kishore Maddineni, SAC

Practitioner Surgical Assistant Chicago, IL

Practice location

Address: 850 W Irving Park Rd, Chicago, IL 60613-3077
Phone: (773) 975-6730

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 238.000564 (IL)

Other Specialist/Technologist, Other providers in Illinois →

Registry record

NPI: 1073020756
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2018
Record last updated: 4 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.