Individual
SANDRA KABAGAMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3100
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
0101272864
VA
2086S0120X
Pediatric Surgery Physician
Primary
036173369
IL
Other
Enumeration date
06/18/2012
Last updated
06/23/2025
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