Venkata Bongarala, PT

NPI 1518357656 · on the registry since 2015

Practice

Address: 3001 Green Bay Rd
Captain James A. Lovell Federal Health Care Center
North Chicago, IL 60064
Phone: (224) 619-5114
Organisation at this address: Va Hospital
North Chicago Va
Va Medical Center
United States Navy
Federal Health Care Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 592

Registry record

Primary taxonomy: 225100000X
225100000X
Also registered as: 225100000X
225100000X
225100000X
Licence states on file: IL, IN, NJ, MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-01-27

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