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1104082890
CATHERINE ELIZABETH THEORELL
URBANA, IL
NPI
1104082890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: IL 209.004131041.16740)
Enumeration Date
2008-08-01
Last Update Date
2013-12-11
Business Address
Dr. CATHERINE ELIZABETH THEORELL PhD
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-383-3266
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Mailing Address
Dr. CATHERINE ELIZABETH THEORELL PhD
PO BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8630
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