Organization
SENIOR HEALTH AND GERIATRICS OF CENTRAL ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UDAY L DEOSKAR M.D. (PHYSICIAN)
(309) 663-5810
Entity
Organization
Contact information
Practice address
2103 E. WASHINGTON ST, 2C, B LOOMINGTON, IL 61701-4365
(309) 663-5810
Mailing address
2103 E. WASHINGTON ST, 2C, B LOOMINGTON, IL 61701-4365
(309) 663-5810
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
03/14/2008
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