Alethea Jade Appavu, DO
Physical Medicine & Rehabilitation in Chicago, IL. Individual provider (NPI-1).
NPI number1073005286
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1073005286
- Entity type
- Individual (NPI-1)
- Name
- Alethea Jade Appavu
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2018
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 036160547 | IL | Yes |
Practice location
1650 W Harrison St Ste 466Chicago, IL 60612
Phone 312-942-5000
Mailing address
1650 W Harrison St Ste 466Chicago, IL 60612-3800
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