| NPI | 1154549533 |
|---|---|
| Doing Business As | GOWDAR & GOWDAWR MD SC |
| Entity Type | Organization |
| Authorized Contact | PRASANNA GOWDAR Owner 217-876-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036067549) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |