Individual
DR. DEEPAK S NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
2404 W SHERMAN AVE, WEST PEORIA, IL 61604-5460
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125052064
IL
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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