PRAKASH PEDAPATI
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1295753259- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3535 N BELL SCHOOL RD, ROCKFORD, IL, 61114
- Phone
- (779) 696-9400
Specialties & Taxonomies
Unknown
Primary License: IL #036058366