MARIA LENNIE BAISA

CHAMPAIGN, IL
NPI1326154188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-090566)
Enumeration Date2006-08-22
Last Update Date2014-11-03
Business Address
Dr. MARIA LENNIE BAISA M.D.
1801 WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-6104
Mailing Address
Dr. MARIA LENNIE BAISA M.D.
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-6104