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1306145099
SHREEPADA TRIPATHY
SPRINGFIELD, IL
NPI
1306145099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036-139989)
Enumeration Date
2011-03-21
Last Update Date
2016-07-08
Business Address
-- SHREEPADA TRIPATHY
415 N 9TH ST SUITE 4W64
SPRINGFIELD, IL 62702-5303
Phone number: 217-545-8000
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Mailing Address
-- SHREEPADA TRIPATHY
415 N 9TH ST PO BOX 19676
SPRINGFIELD, IL 62702-5303
Phone number: 217-545-8000
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