Individual
ARUN K JAGANNATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2991
(815) 933-7671
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
231139
MA
Other
Enumeration date
04/06/2007
Last updated
10/09/2023
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