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Organization

SO ILLINOIS NEUROLOGY & REHAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRITAM S SAHNI M.D. (OWNER)
(618) 242-6465
Entity
Organization

Contact information

Practice address
1702 BROADWAY ST, SUITE C, MOUNT VERNON, IL 62864-2930
(618) 242-6465
(618) 242-6463
Mailing address
1702 BROADWAY ST, SUITE C, MOUNT VERNON, IL 62864-2930
(618) 242-6465
(618) 242-6463

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-051778
IL

Other

Enumeration date
03/20/2007
Last updated
06/30/2008
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