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Organization

INDRA PAL MDSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. INDRA PAL M.D (M.D)
(815) 672-0567
Entity
Organization

Contact information

Practice address
104 SIXTH STREET, STREATOR, IL 61364
(815) 674-0567
(815) 672-8933
Mailing address
104 W 6TH ST, STREATOR, IL 61364-2899
(815) 672-0567
(815) 672-8933

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IL

Other

Enumeration date
07/05/2006
Last updated
07/21/2022
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