OWAISE MANSURI

CHAMPAIGN, IL
NPI1124280409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125-054604)
Enumeration Date2008-06-27
Last Update Date2014-05-07
Business Address
-- OWAISE MANSURI MD
1813 W KIRBY AVE
CHAMPAIGN, IL 61821-5410
Phone number: 217-383-3490
Mailing Address
-- OWAISE MANSURI MD
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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