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Individual

DR. AMANDA MATHIAS RAJENDRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
385 WIRTZ DR., DEKALB, IL 60115-6118
(815) 306-2777
(815) 306-2778
Mailing address
385 WIRTZ DR., DEKALB, IL 60115-6118
(815) 306-2777
(815) 306-2778

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-131509
IL

Other

Enumeration date
06/30/2008
Last updated
07/12/2019
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