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NPI Verification

National Provider Identifier: 1699528174

Jasmine Pramoj Acfalle

Individual Provider

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Primary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Practice Address

815 MAIN ST STE C

PEORIA, IL 616021080

Phone: 309-672-4986

NPI Enumeration Date

April 8, 2024

NPI Number

1699528174

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry