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1154336691
SHOBHA NOOKALA
PEORIA, IL
NPI
1154336691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IL 036110093)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- SHOBHA NOOKALA MD
900 MAIN ST SUITE 400
PEORIA, IL 61602-1005
Phone number: 309-672-3100
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Mailing Address
-- SHOBHA NOOKALA MD
5100 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone number: 309-672-4809
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