DOMINIQUE K FONS

URBANA, IL
NPI1134391881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036127508)
Enumeration Date2008-04-01
Last Update Date2014-09-23
Business Address
-- DOMINIQUE K FONS MD
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-383-3170
Mailing Address
-- DOMINIQUE K FONS MD
611 W. PARK ST BWPC
URBANA, IL 61803-6002
Phone number: 217-383-6792
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