Individual
DR. JANANDANA KALADHINI JEGANMOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27025 W EAMES ST UNIT B, CHANNAHON, IL 60410-5620
(815) 467-1988
Mailing address
1014 E PATTON DR, MARION, IL 62959-3757
(618) 997-4856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036120200
IL
Other
Enumeration date
05/26/2008
Last updated
03/18/2021
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