MICHELLE DELLORSO

URBANA, IL
NPI1306272588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209010610)
Enumeration Date2013-09-19
Last Update Date2013-12-09
Business Address
-- MICHELLE DELLORSO
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-383-3610
Mailing Address
-- MICHELLE DELLORSO
611 W PARK ST BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792