Individual
AJAY JEETWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-4540
(217) 784-4542
Mailing address
4 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-4540
(217) 784-4542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.130636
IL
Other
Enumeration date
08/12/2009
Last updated
09/11/2013
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