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Individual

DR. CHARANJIT S RAKALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
737 N LOGAN AVE, DANVILLE, IL 61832-4363
(217) 442-2054
Mailing address
737 N LOGAN AVE, DANVILLE, IL 61832-4363
(217) 442-2054

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
IL

Other

Enumeration date
12/19/2006
Last updated
11/21/2007
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