Organization
KAUSHAL PEDIATRIC SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEETA B KAUSHAL M.D. (PRESIDENT)
(618) 204-0654
Entity
Organization
Contact information
Practice address
4107 NORTH WATER TOWER PLACE, MOUNT VERNON, IL 62864
(618) 242-5437
Mailing address
4107 NORTH WATER TOWER PLACE, MOUNT VERNON, IL 62864
(618) 242-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036094868
IL
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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