BHAVANA THOTA KANDIKATTU

PEORIA, IL
NPI1447452180
Former NameBHAVANA THOTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: IL  125050396)
Enumeration Date2007-06-04
Last Update Date2023-08-15
Business Address
Dr. BHAVANA THOTA KANDIKATTU MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-573-1167
Mailing Address
Dr. BHAVANA THOTA KANDIKATTU MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-573-1167
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