Sri Medical Care SC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SRI MEDICAL CARE SC

Practice address

420 Medical Center Dr
Suite 210
Bolingbrook, IL 60440-4925

Phone

(574) 273-6546

Fax

(574) 273-5295

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ramadevi Davarapalli, MDNPI 1831171750

Title

Owner

Phone

(630) 226-1800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramadevi Davarapalli, MD

  • Internal Medicine Physician
  • Bolingbrook, IL
  • NPI 1831171750
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669502688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5339",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815301",
            "telephone_number": "574-273-6546",
            "fax_number": "574-273-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MEDICAL CENTER DR",
            "address_2": "SUITE 210",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404925",
            "telephone_number": "574-273-6546",
            "fax_number": "574-273-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI MEDICAL CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVARAPALLI",
        "authorized_official_first_name": "RAMADEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-226-1800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdus Samad Soudagar, M.D.
• Danny Spiros Sourbis, LCPC
• Spectrum Nurses Incorporated
• Susan Sperling, LPC
• Melissa Suzanne Spoula, O.D.
• Deepa Sridhar, DMD
• Morgan Tamia Stafford
• Rebecca Stanford
• Sandra Starkovich, PT
• Starlight Therapy Services Limited

• Specialist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.