RAQUEL TAHUD IGANA

URBANA, IL
NPI1306278130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209010213)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  F1212018)
Enumeration Date2013-08-02
Last Update Date2015-06-08
Business Address
-- RAQUEL TAHUD IGANA NP
611 W PARK ST BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
Mailing Address
-- RAQUEL TAHUD IGANA NP
1818 E WINDSOR RD
URBANA, IL 61802-9566
Phone number: 217-255-9646