Revathi Swaminathan, M.D.
in Peoria, IL. Individual provider (NPI-1).
NPI number1841234929
StatusActive
Last updated in NPPESMar 8, 2016
Details
- NPI
- 1841234929
- Entity type
- Individual (NPI-1)
- Name
- Revathi Swaminathan
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2006
- Last updated
- Mar 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 036062991 | IL | Yes |
Practice location
221 Ne Glen Oak AvePeoria, IL 61636-0001
Phone 309-672-5700 · Fax 309-671-2774
Mailing address
450 Mayo DrGalesburg, IL 61401-1211
Phone 309-344-2831 · Fax 309-344-2014
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