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1225100977
GIRISH GANESH DESHPANDE
PEORIA, IL
NPI
1225100977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: IL 036109253)
Enumeration Date
2006-11-15
Last Update Date
2008-10-03
Business Address
-- GIRISH GANESH DESHPANDE MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2250
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Mailing Address
-- GIRISH GANESH DESHPANDE MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2250
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