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1316497902
SHADY GEORGY
SPRINGFIELD, IL
NPI
1316497902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL 125068547)
Enumeration Date
2016-10-07
Last Update Date
2016-10-07
Business Address
-- SHADY GEORGY
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702-4968
Phone number: 217-545-8000
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Mailing Address
-- SHADY GEORGY
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702-4968
Phone number:
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