Individual
CAJETAN LUMANG DURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-4645
Mailing address
6436 41ST ST, STICKNEY, IL 60402-4134
(443) 355-5726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.079895
IL
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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