ALI BALTAJI

URBANA, IL
NPI1912559691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125074501)
Enumeration Date2019-07-12
Last Update Date2019-07-12
Business Address
ALI BALTAJI
101 N BUSEY APT 7
URBANA, IL 61801
Phone number: 217-518-6382
Mailing Address
ALI BALTAJI
611 W PARK STREET
URBANA, IL 61801
Phone number: 217-518-6382