BASSIL KHERALLAH

PEORIA, IL
NPI1659831501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence:   90200000x)
Enumeration Date2019-03-25
Last Update Date2019-03-25
Business Address
Dr. BASSIL KHERALLAH MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-4000
Mailing Address
Dr. BASSIL KHERALLAH MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-4000
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