Individual
MAMADOU KINDY CHERIF DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-4846
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
084443
IL
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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