Carbondale Family Medicine,llc
NPI #1518023530 in Carbondale, Illinois
Provider Information
- NPI Number
- 1518023530
- Entity Type
- Organization
- Organization Name
- Carbondale Family Medicine,llc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Jan 11, 2011
Practice Location
- Address
- 1175 CEDAR CT
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-5333
- Phone
- (618) 549-0300
Authorized Official
- Name
- DR. MUKESH CHAUDHRY, M.D.
- Title
- MD
- Phone
- (618) 549-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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