Individual
DR. DUSHMANTHI CHAMILA ADHIKARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
OSF CHILDREN'S HOSPITAL OF ILLINOIS 530 NE GLEN OAK AVE, PEORIA, IL 61637-7527
(309) 868-4065
Mailing address
2613 W SESAME ST, DUNLAP, IL 61525-7527
(309) 868-4065
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.086197
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2025
Last updated
06/27/2025
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