Individual
JANAK KOIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST, STE 1100, SPRINGFIELD, IL 62702-4968
(217) 545-9537
(217) 545-8025
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-9537
(217) 545-8025
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036091983
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091983
—
IL
Enumeration date
10/12/2005
Last updated
11/17/2020
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