Venkata Jaya Madhuri Bongarala, PT
NPI #1518357656 in North Chicago, Illinois
Provider Information
- NPI Number
- 1518357656
- Entity Type
- Individual
- Name
- Venkata Jaya Madhuri Bongarala, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jan 27, 2015
- Last Updated
- Jan 27, 2015
Practice Location
- Address
- 3001 GREEN BAY RD
- Address 2
- CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER
- City
- North Chicago
- State
- Illinois
- ZIP Code
- 60064-3048
- Phone
- (224) 619-5114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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