AUTUMN WARD

URBANA, IL
NPI1093119505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209011863)
Enumeration Date2014-10-13
Last Update Date2014-10-13
Business Address
-- AUTUMN WARD NP
611 W. PARK ST.
URBANA, IL 61801-2500
Phone number: 217-383-3610
Mailing Address
-- AUTUMN WARD NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6941
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