PANDURANGA R KINI MD, LTD
Neurology at Park Pl, Belleville, IL

License number
Illinois 036064310
Category
Neurology
Type
Neurology
Owner
Name: DR. PANDURANGA R KINI MD
Title: OWNER
Phone: (618) 233-1151
Address
Address
7 Park Pl STE A, Belleville, IL 62226
National Provider ID: 1225266984
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PANDURANGA R. KINI, M.D., LTD

Belleville, IL 62226

Registration:
May 15, 2009
State ID:
66597865
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Panduranga R Kini,7-A Park Pl, Belleville, IL 62226 (Physical)

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