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1417120189
SUDHA G PRASAD
SPRINGFIELD, IL
NPI
1417120189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: IL 036079578)
Enumeration Date
2008-04-02
Last Update Date
2020-05-20
Business Address
Dr. SUDHA G PRASAD M.D.C.S.
901 S KOKE MILL RD
SPRINGFIELD, IL 62711-8012
Phone number: 217-528-7541
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Mailing Address
Dr. SUDHA G PRASAD M.D.C.S.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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