RIVER ANDRES

CHAMPAIGN, IL
NPI1093283954
Former NameCAROLINE MARIE BROWN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.006815)
Enumeration Date2018-11-08
Last Update Date2020-01-03
Business Address
RIVER ANDRES PA
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
Mailing Address
RIVER ANDRES PA
2106 GEORGETOWN CIR
CHAMPAIGN, IL 61821-6422
Phone number: 217-649-6792