Chandupatla Probhakar MD
Chandupatla Probhakar MD is an Internal Medicine Physician in Jacksonville, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
559 N WestgateJacksonville, IL 62650
Phone: (217) 243-5474
Fax: (217) 245-2322
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1558473405 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chandupatla Prabhakar — Owner Physician · (217) 243-5474 |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 559 N Westgate, Jacksonville, IL 62650 |
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