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1619390846
PRASHANT JAGTAP
SPRINGFIELD, IL
NPI
1619390846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IL 036139333)
Enumeration Date
2014-01-23
Last Update Date
2024-09-10
Business Address
PRASHANT JAGTAP MD
800 E CARPENTER ST
SPRINGFIELD, IL 62769-1000
Phone number: 217-544-6464
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Mailing Address
PRASHANT JAGTAP MD
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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