Individual
ANKUSH KATKADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2239 E COOK ST, SPRINGFIELD, IL 62703-1944
(217) 788-2300
Mailing address
2239 E COOK ST, SPRINGFIELD, IL 62703-1944
(217) 788-2300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033462
IL
Other
Enumeration date
11/25/2021
Last updated
03/14/2023
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