NPI 1427056092

Virginia P Madla, MD

Practitioner Allergy & Immunology Physician St Charles, IL

Practice location

Address: 2900 Foxfield Rd Suite 206, St Charles, IL 60174-5799
Phone: (630) 584-6127
Fax: (630) 584-6070

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 036045010 (IL)

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Registry record

NPI: 1427056092
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2005
Record last updated: 8 Jul 2007

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.