MRS. Vidya Jaganath Puthenveetil, M.D.

NPI #1447360425 in Gurnee, Illinois

Provider Information

NPI Number: 1447360425
Entity Type: Individual
Name: MRS. Vidya Jaganath Puthenveetil, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3 S GREENLEAF ST
Address 2: SUITE J
City: Gurnee
State: Illinois
ZIP Code: 60031-3377
Phone: (847) 662-0978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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