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1154483055
ANNE MCKUSICK
URBANA, IL
NPI
1154483055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 336-045559)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Dr. ANNE MCKUSICK m.d.
1109 S LINCOLN AVE
URBANA, IL 61801-4703
Phone number: 217-244-5676
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Mailing Address
Dr. ANNE MCKUSICK m.d.
616 BELLERIEVE DR
CHAMPAIGN, IL 61822-7344
Phone number: 217-378-7827
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