Individual
ABHILASHA RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
DEPT OF INTERNAL MEDICINE, 530 NE GLEN OAK AVENUE, PEORIA, IL 61637-0001
(309) 655-3292
Mailing address
OF INTERNAL MEDICINE, 530 NE GLEN OAK AVENUE, PEORIA, IL 61637-0001
(309) 655-3292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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