Individual
PRATAP ATTALURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3248 VANDEVER AVE, PEKIN, IL 61554
(309) 347-5522
(309) 347-7302
Mailing address
3248 VANDEVER AVE, PEKIN, IL 61554
(309) 347-5522
(309) 347-7302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036084923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00303608492301
CONTROLLED SUBSTANCE
IL
05
—
036084923
—
IL
Enumeration date
04/18/2006
Last updated
03/07/2023
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