Sreenu Peter Chakumgal M.D

NPI 1144534769 - Family Medicine - 207Q00000X

NPI Details
NPI 1144534769
Gender Male
Enumeration Date 08/06/2010
Last Updated 12/11/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
611 W PARK ST
URBANA IL, 61801-2500, US
Phone (217) 383-3313
Fax (217) 383-4014
Business Location
PO BOX 6002
URBANA IL, 61803-6002, US
Phone (217) 326-8630
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 125058970
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According to our database, Dr. Sreenu Peter Chakumgal M.D NPI is 1144534769, taxonomy code is 207Q00000X and license number is 125058970, license state is located at Illinois. Sreenu Peter Chakumgal M.D physically located at 611 W Park St, Urbana IL, 61801-2500. NPI Number Sreenu Peter Chakumgal M.D has the Individual type.

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1144534769 NPI number is provided on an as is basis without warranty of any kind. 1144534769 is maintained by the National Plan & Provider Enumeration System. The contents of Sreenu Peter Chakumgal M.D are for informational purposes only.