Dr. Veera A Rao
Internist Geriatric Medicine
690 E Terra Cotta Ave Ste A
Crystal Lake
, Illinois 60014
Dr. Veera A Rao
Internist Geriatric Medicine
690 E Terra Cotta Ave Ste A
Crystal Lake
, Illinois 60014
(815) 455-2789
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Veera A Rao
- 690 E Terra Cotta Ave Ste A
- Crystal Lake, IL
- Zip : 60014-3605
- Fax : (815) 455-2789
- Phone : (815) 455-2452
Second Address
- Dr. Veera A Rao
- 690 E Terra Cotta Ave Ste A
- Crystal Lake, IL
- Zip : 60014
- Fax : (815) 455-2789
- Phone : (815) 455-2452
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036101157 | IL |
| N | 111NI0900X | Internist | 036101157 | IL |
| Y | 207RG0300X | Geriatric Medicine | 036101157 | IL |
National Provider Identifier
| NPI | 1043217110 |
|---|---|
| Provider Name | Dr. Veera A Rao |
| First Address | Crystal Lake, IL 60014-3605 |
| Second Address | Crystal Lake, IL 60014 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2005 |
| Last Update Date | 17/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036101157 | (05) | IL |
| 036101157 | STATE LICENSE (01) | IL |
| 1634621 | BCBS (01) | IL |
| F400163005 | MEDICARE PTAN (01) | IL |
| H15116 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.