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Dr. Meher Bala Medavaram, MD
Family Medicine Physician in Bolingbrook, Illinois
NPI 1376621359

Meher Bala Medavaram is a Family Medicine Physician based in Bolingbrook, IL. Meher Bala Medavaram practices in Bolingbrook, IL and has the professional credentials of MD. The NPI Number for Meher Bala Medavaram is 1376621359 and holds a License No. 036072434 (Illinois).

The current practice location address for Meher Bala Medavaram is 686 W Boughton Rd, Bolingbrook, IL and can be reached out via phone at 630-378-1234 and via fax at 630-378-1155.

Location: 686 W Boughton Rd, Bolingbrook, IL, 60440-1520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376621359
Provider Name
Meher Bala Medavaram
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
686 W Boughton Rd, Bolingbrook, IL, 60440-1520
Phone Number
630-378-1234
Fax Number
630-378-1155
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09921620 01 BCBS
036072434 05 IL
institution
Provider Business Practice Location Address Details
Address
686 W Boughton Rd
City
Bolingbrook
State
Illinois
Zip
60440-1520
Phone Number
630-378-1234
Fax Number
630-378-1155
person
Provider Business Mailing Address Details
Address
686 W Boughton Rd
City
Bolingbrook
State
Illinois
Zip
60440-1520
Phone Number
630-378-1234
Fax Number
630-378-1155
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036072434 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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