Seshagiri Vavilikolanu, MD

NPI 1033478847 · on the registry since 2012 · sole proprietor

Practice

Address: 161 E North Ave
Northlake, IL 60164
Phone: (989) 225-6493
Organisation at this address: Northlake Dental Clinic Pc
Northlake Medical Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 207LP2900X
207LP2900X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois