Herrin Pediatrics

NPI #1568621928 in Herrin, Illinois

Provider Information

NPI Number: 1568621928
Entity Type: Organization
Organization Name: Herrin Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jun 2, 2008
Last Updated: Jun 12, 2008

Practice Location

Address: 121 N 13TH ST
City: Herrin
State: Illinois
ZIP Code: 62948-3248
Phone: (618) 988-6600

Authorized Official

Name: DR. CHAMUNDAMBIKA SHANMUGAM, M.D.
Title: OWNER
Phone: (618) 988-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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