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1295896173
MOHIN TISSA SAMARAWEERA
PLAINFIELD, IL
NPI
1295896173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 36048836)
Enumeration Date
2006-12-13
Last Update Date
2009-12-22
Business Address
Dr. MOHIN TISSA SAMARAWEERA MD
24016 W MAIN STREET
PLAINFIELD, IL 60544
Phone number: 815-436-7303
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Mailing Address
Dr. MOHIN TISSA SAMARAWEERA MD
24016 W MAIN STREET
PLAINFIELD, IL 60544
Phone number: 815-436-7303
Copy
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