Madhusudan Vallala MD, SC
Madhusudan Vallala MD, SC is a Cardiovascular Disease Physician in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
1515 W Walnut StJacksonville, IL 62650-1150
Phone: (217) 245-8712
Fax: (217) 245-1453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X · Licence 036053208 (IL) |
|---|
Record details
| NPI number | 1609177005 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sue Vallala — Office Manager · (217) 245-8712 |
| NPI enumerated | November 16, 2010 |
| Last updated in NPPES | November 16, 2010 |
| Mailing address | 1515 W Walnut St, Jacksonville, IL 62650-1150 |