Organization
MADHAV T RATNAKAR, MD P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHAV T RATNAKAR MD (MD)
(309) 734-7820
Entity
Organization
Contact information
Practice address
103 S MAIN ST, MONMOUTH, IL 61462-1751
(309) 734-7820
(309) 734-5299
Mailing address
103 S MAIN ST, MONMOUTH, IL 61462-1751
(309) 734-7820
(309) 734-5299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10200028
—
IL
01
—
1639124472
NPI
IL
Enumeration date
08/17/2007
Last updated
08/17/2007
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