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-- VIKRAM S KOTWAL -- M.D

Individual Provider (NPI-1) Active

Internal Medicine, Gastroenterology

Provider Information

NPI Number
1215267596
Provider Type
Individual Provider (NPI-1)
Credentials
M.D
Status
Active

Contact & Location

Address
1750 E LAKE SHORE DR SUITE 310, DECATUR, IL, 625213803
Phone
(217) 464-1220
Fax
(217) 464-1229

Specialties & Taxonomies

Internal Medicine License: IL #125.052336
Internal Medicine, Gastroenterology Primary License: IL #036-126060

All Addresses

MAILING

1750 E LAKE SHORE DR SUITE 310

DECATUR, IL, 625213803

(217) 464-1220

LOCATION

1750 E LAKE SHORE DR SUITE 310

DECATUR, IL, 625213803

(217) 464-1220