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Individual

SARITA M PRABHUDESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5077
Mailing address
13911 E 3785 NORTH RD, HOOPESTON, IL 60942-6254
(217) 748-6272

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036070658
IL

Other

Enumeration date
08/28/2006
Last updated
07/08/2007
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