Whalio Doctors

NPI 1457879512

Divya Baktha Ramachandra, MS

Practitioner Genetic Counselor (M.S.) Oak Lawn, IL

Practice location

Address
4400 W 95th St STE 207, Oak Lawn, IL 60453-2658
Phone
(708) 684-1563

Registered specialties

Genetic Counselor (M.S.) Primary
Other Service Providers Taxonomy 170300000X Licence 247.000099 (IL)

Registry record

NPI
1457879512
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Sep 2017
Record last updated
8 Sep 2017

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.