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Individual

SARAH KATHERINE RYLE CHERIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3313
(217) 383-4014
Mailing address
611 W PARK ST, URBANA, IL 61801-2529

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036137793
IL
207P00000X
Emergency Medicine Physician
MD2017-0704
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32401523
NM
Enumeration date
03/27/2012
Last updated
01/29/2021
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