Individual
DR. PREM DUA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 LEHMEN DR, CHESTER, IL 62233-0031
(618) 826-4571
(618) 826-3229
Mailing address
13939 REFLECTION CT, BALLWIN, MO 63021-8026
(636) 527-2829
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-4163567
IL
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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