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Anusha Chidharla
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1376040634

Anusha Chidharla is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Anusha Chidharla practices in Peoria, IL. The NPI Number for Anusha Chidharla is 1376040634 and holds a License No. 90200000X (Illinois).

The current practice location address for Anusha Chidharla is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-624-2680 and via fax at 309-655-7732.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376040634
Provider Name
Anusha Chidharla
Credential
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-624-2680
Fax Number
309-655-7732
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-624-2680
Fax Number
309-655-7732
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-624-2680
Fax Number
309-655-7732
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
90200000X (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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