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1356897003
EMILY FOERTSCH
CHAMPAIGN, IL
NPI
1356897003
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Former Name
EMILY NIEMIEC
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209014584)
Enumeration Date
2016-08-31
Last Update Date
2022-01-05
Business Address
EMILY FOERTSCH NP
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-1237
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Mailing Address
EMILY FOERTSCH NP
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-1237
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