Individual
NEELAM PRAKASH PHALKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 N BOND ST, SPRINGFIELD, IL 62702-4952
(217) 545-8000
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101277336
VA
207YS0123X
Facial Plastic Surgery Physician
0101277336
VA
207YS0123X
Facial Plastic Surgery Physician
Primary
036.169772
IL
Other
Enumeration date
03/21/2018
Last updated
06/14/2024
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