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1194815290
UMA SRIVASTAVA
ROCKFORD, IL
NPI
1194815290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036061178)
Enumeration Date
2006-10-13
Last Update Date
2016-05-03
Business Address
-- UMA SRIVASTAVA MD
4920 E STATE ST
ROCKFORD, IL 61108-2272
Phone number: 815-226-1906
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Mailing Address
-- UMA SRIVASTAVA MD
4920 EAST STATE ST
ROCKFORD, IL 61108-2262
Phone number: 815-226-1906
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