Individual
DR. EZHILUDAI NAMBI RAMAMOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBBS
Contact information
Practice address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Mailing address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
125062542
IL
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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