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Megha Mungee

Family Medicine in Peoria, IL. Individual provider (NPI-1).

NPI number1760670913
StatusActive
Last updated in NPPESFeb 23, 2008

Details

NPI
1760670913
Entity type
Individual (NPI-1)
Name
Megha Mungee
Sex
Female
Sole proprietor
No
Enumeration date
Oct 11, 2007
Last updated
Feb 23, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036-119903ILYes
207Q00000X Family Medicine125-053864IL

Practice location

5111 N Glen Park Place Rd
Peoria, IL 61614-4675

Phone 309-683-5700 · Fax 309-683-5752

Mailing address

5111 N Glen Park Place Rd
Peoria, IL 61614-4675

Phone 309-683-5700 · Fax 309-683-5752

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