Individual
ANURADHA NAYAR KOVILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W KENYON RD, CHAMPAIGN, IL 61820-7892
(217) 318-7405
Mailing address
201 W KENYON RD, CHAMPAIGN, IL 61820-7892
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
1465175
IL
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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