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Individual

UMESH CHATRATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
DEPT OF PEDIATRICS, 320 E ARMSTRONG, PEORIA, IL 61603
(309) 624-9587
Mailing address
1 ILLINI DR, PEORIA, IL 61605-2576
(309) 671-8503

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036049115
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036049115
IL
01
07215036
BCBS
IL
01
IL01AO
JOHN DEERE
IL
Enumeration date
04/19/2006
Last updated
01/24/2014
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