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1235163056
RENUKA BHASKAR
BLOOMINGTON, IL
NPI
1235163056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: IL 036-107260)
Enumeration Date
2006-07-10
Last Update Date
2023-12-08
Business Address
RENUKA BHASKAR MD
105 KRISPY KREME DR STE 4
BLOOMINGTON, IL 61704-3751
Phone number: 309-585-2837
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Mailing Address
RENUKA BHASKAR MD
2200 JACOBSSEN DR STE B
NORMAL, IL 61761-5516
Phone number: 309-451-1123
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