Individual
DR. DEWAT R CHAUDHRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
616 35TH AVE, SUITE 3, MOLINE, IL 61265-6158
(309) 764-2994
(309) 764-2996
Mailing address
616 35TH AVE, MOLINE, IL 61265-6158
(309) 764-2994
(309) 764-2996
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-050484
IL
Other
Enumeration date
07/28/2005
Last updated
12/16/2011
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