MANOGNA NOOKATHOTA, MBBS
Osteopathic Medicine at Jackson St, Carbondale, IL

License number
Illinois 7329
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Illinois 036143222
Category
Osteopathic Medicine
Type
Hospitalist
Address
Address 2
405 W Jackson St, Carbondale, IL 62901
11124 Decatur Plz APT 303, Omaha, NE 68154
Phone
(618) 549-0721
(618) 351-1462 (Fax)
(402) 305-1603
National Provider ID: 1538575097
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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