CARBONDALE FAMILY MEDICINE,LLC

CARBONDALE, IL
NPI1518023530
Entity TypeOrganization
Authorized ContactMUKESH CHAUDHRY
Md
618-549-0300
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-107111)
Enumeration Date2006-12-28
Last Update Date2011-01-11
Business Address
CARBONDALE FAMILY MEDICINE,LLC
1175 CEDAR CT
CARBONDALE, IL 62901-5333
Phone number: 618-549-0300
Mailing Address
CARBONDALE FAMILY MEDICINE,LLC
190 HIGH FOREST DR
CARBONDALE, IL 62903-8245
Phone number: 618-549-0300
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