SHRUTI SIVAKUMAR

PEORIA, IL
NPI1972429116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.037230)
Enumeration Date2026-06-24
Last Update Date2026-06-24
Business Address
SHRUTI SIVAKUMAR DDS
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
Mailing Address
SHRUTI SIVAKUMAR DDS
16859 YELLOWSTONE DR
NORTHVILLE, MI 48168-6846
Phone number: 248-719-8509