Individual
SOWMYA GURUKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
701 E ORANGE ST, HOOPESTON, IL 60942-1801
(217) 283-5531
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/15/2014
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