Individual
JANAKI TOKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2702
Mailing address
9711 N MEGAN CT, PEORIA, IL 61615-7475
(702) 308-8099
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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