Individual
KASUN CHAMARA VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4192
(217) 876-8121
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4192
(217) 876-8121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036165448
IL
208M00000X
Hospitalist Physician
036165448
IL
Other
Enumeration date
04/21/2020
Last updated
09/06/2024
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