Individual
MR. ARCOT D SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N EAST ST, OLNEY, IL 62450-2499
(618) 395-5222
(618) 395-8552
Mailing address
1200 N EAST ST, WEBER MEDICAL CLINIC LTD, OLNEY, IL 62450-2499
(618) 395-5222
(618) 395-8552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003380
HEALTH ALLIANCE
IL
Enumeration date
08/04/2006
Last updated
07/09/2007
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