SHREEPADA TRIPATHY

SPRINGFIELD, IL
NPI1306145099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036-139989)
Enumeration Date2011-03-21
Last Update Date2016-07-08
Business Address
-- SHREEPADA TRIPATHY
415 N 9TH ST SUITE 4W64
SPRINGFIELD, IL 62702-5303
Phone number: 217-545-8000
Mailing Address
-- SHREEPADA TRIPATHY
415 N 9TH ST PO BOX 19676
SPRINGFIELD, IL 62702-5303
Phone number: 217-545-8000