Provider First Line Business Practice Location Address:
602 W.UNIVERSITY AVENUE
Provider Second Line Business Practice Location Address:
PEDIATRICS
Provider Business Practice Location Address City Name:
URBANA
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-326-1894
Provider Business Practice Location Address Fax Number:
217-383-4468
Provider Enumeration Date:
06/17/2006