Individual
KAPIL KIRAN AEDMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
900 MAIN ST STE 400, PEORIA, IL 61602-1060
(309) 672-3100
(309) 672-3131
Mailing address
900 MAIN ST STE 400, PEORIA, IL 61602-1060
(309) 672-3100
(309) 672-3131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036148146
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036148146
IL
Other
Enumeration date
08/10/2011
Last updated
06/11/2025
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