| A T & G P Devasgunawardhane Md Ltd | |
|
102 Commerce Dr Clifton IL 60927-9501 | |
| (815) 694-2381 | |
| Not Available |
| Full Name | A T & G P Devasgunawardhane Md Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Commerce Dr, Clifton, Illinois |
| Authorized Official Name and Position | Pat Gray (OFFICE MANAGER) |
| Authorized Official Contact | 8156942381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A T & G P Devasgunawardhane Md Ltd 102 Commerce Dr Clifton IL 60927-9501 Ph: (815) 694-2381 | A T & G P Devasgunawardhane Md Ltd 102 Commerce Dr Clifton IL 60927-9501 Ph: (815) 694-2381 |
| NPI Number | 1093919821 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 08/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093919821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Presence Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E 6th Ave, Clifton, IL 60927 Phone: 815-694-2044 |