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Organization
SHOBHA S IYENGAR, MD SC
Active
Organization
SHOBHA S IYENGAR, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOBHA S IYENGAR M.D. (PROVIDER)
(815) 547-5007
Entity
Organization
Contact information
Practice address
2186 UNIT 1, NORTH STATE STREET, BELVIDERE, IL 61008-3918
(815) 547-5007
Mailing address
1371 SANDHURST LN, ROCKFORD, IL 61107-2789
(815) 547-5007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
02/15/2011
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