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Search › Illinois › 1223G0001X

Srutha Keerthi Chebolu

NPI 1326663873 · on the registry since 2020

Practice

Address
401 N Veterans Pkwy Ste 4
Bloomington, IL 61704
Phone
(309) 808-1317
Organisation at this address
Optim Dental Bloomington Llc
Access Dental Of Bloomington Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois