Search › Illinois › 213ES0103X
Saluja Mahabamunuge
NPI 1497231518 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2160 S 1st Ave
Maywood, IL 60153 - Phone
- (708) 216-3280
- Organisation at this address
- Walgreen Co
Walgreen Co
Rosin Optical Co., Inc.
Proviso Partners For Health
Loyola University Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2,186
Additional practice sites
- 1670 Clairmont Rd, Decatur, GA
- 1670 Clairmont Rd, Decatur, GA
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 207XX0004X
- Licence states on file
- GA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-29
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