USHASRI KOGANTI MDSC

OTTAWA, IL
NPI1255448460
Entity TypeOrganization
Authorized ContactUSHASRI KOGANTI
Physician
815-434-2048
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-096808)
Enumeration Date2006-08-24
Last Update Date2010-11-19
Business Address
USHASRI KOGANTI MDSC
1129 COLUMBUS ST
OTTAWA, IL 61350
Phone number: 815-343-2048
Mailing Address
USHASRI KOGANTI MDSC
1129 COLUMBUS ST
OTTAWA, IL 61350
Phone number: 815-343-2048
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