KILALI IYALLA

CARBONDALE, IL
NPI1811309214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0127X Surgery, Trauma Surgery
(Licence: IL  036155596)
Additional Taxonomies208600000X Surgery
(Licence: IL  036155596)
2086S0102X Surgery, Surgical Critical Care
(Licence: IL  036155596)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-05-20
Last Update Date2021-08-30
Business Address
KILALI IYALLA M.D.
305 W JACKSON ST STE 206
CARBONDALE, IL 62901-1474
Phone number: 618-457-3006
Mailing Address
KILALI IYALLA M.D.
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200