Individual
USHA SREE JANAPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 FRANKLIN AVE, NORMAL, IL 61761-3592
(309) 268-3598
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.153818
IL
Other
Enumeration date
06/14/2016
Last updated
03/30/2022
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