SearchIllinois363LA2100X

Swarna Gummadi

NPI 1659080380 · on the registry since 2022

Practice

Address
25 Telser Rd Unit 1057
Lake Zurich, IL 60047
Phone
(847) 847-1393
Clinicians at this address
5

Additional practice sites

  • 55 Fruit St, Boston, MA

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
163W00000X
163WP2201X
Licence states on file
IL, MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-20

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