SUMMER L PARK

CHAMPAIGN, IL
NPI1114196904
Former NameSUMMER L ROESCHLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209006933)
Enumeration Date2008-02-26
Last Update Date2014-11-05
Business Address
-- SUMMER L PARK APN
1801 WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-6104
Mailing Address
-- SUMMER L PARK APN
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1326
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