Organization
KADHIRESAN MURUGAPPAN S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KADHIRESAN MURUGAPPAN M.D. (OWNER)
(618) 643-4361
Entity
Organization
Contact information
Practice address
611 S MARSHALL AVE, MC LEANSBORO, IL 62859-1213
(618) 643-2361
(618) 643-2502
Mailing address
124 E MARKET ST, MC LEANSBORO, IL 62859-1317
(618) 643-4361
(618) 643-2162
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042617997
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060687
—
IL
Enumeration date
07/10/2007
Last updated
02/02/2016
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