SHANTA D. MATTAI

PEORIA, IL
NPI1609974096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL  036-113175)
Enumeration Date2006-09-20
Last Update Date2007-07-14
Business Address
-- SHANTA D. MATTAI
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-624-8500
Mailing Address
-- SHANTA D. MATTAI
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-624-8500
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