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Individual

DR. JYOTI ASSUDANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 N 8TH STREET, SPRINGFIELD, IL 62701
(217) 545-0003
(217) 545-7615
Mailing address
P.O. BOX 19658, SPRINGFIELD, IL 62794-9658
(217) 545-0003
(217) 545-7615

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125-059850
IL

Other

Enumeration date
09/19/2008
Last updated
07/19/2011
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