Prasad Gourineni M.d.s.c.

NPI #1689734881 in Oak Lawn, Illinois

Provider Information

NPI Number
1689734881
Entity Type
Organization
Organization Name
Prasad Gourineni M.d.s.c.
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Dec 11, 2006
Last Updated
Jul 2, 2014

Practice Location

Address
4440 W.95TH STREET
Address 2
PEDIATRIC AMBULATORY CLINIC
ZIP Code
60453
Phone
(708) 684-4563

Authorized Official

Name
DR. PRASAD GOURINENI, M.D.
Title
PRESIDENT
Phone
(630) 789-9223

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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