Individual
MR. DIVYANG PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
530 NE GLEN OAK AVENUE, PEORIA, IL 61637
(309) 624-9351
(309) 655-7732
Mailing address
OSF ST FRANCIS MEDICAL CENTRE, 530 NE GLEN OAK AVENUE,, INTERNAL MEDICINE RESIDENCY ATTN: MARTI SOKOLOWSKI, PEORIA, IL 61637
(309) 624-9351
(309) 655-7732
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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