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Individual

DR. SEEMA GARG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
116 W BUCHANAN AVE, CHARLESTON, IL 61920-2522
(217) 345-7700
(217) 345-7200
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 868-2812

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036099042
IL
2080A0000X
Pediatric Adolescent Medicine Physician
01058542
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200465710
IN
Enumeration date
07/18/2006
Last updated
07/06/2023
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