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1376930750
PRUDENCE HARTWELL
CHAMPAIGN, IL
NPI
1376930750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: IL 036146564)
Enumeration Date
2015-04-23
Last Update Date
2022-05-26
Business Address
PRUDENCE HARTWELL M.D.
1701 CURTIS RD
CHAMPAIGN, IL 61822-9678
Phone number: 217-365-6202
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Mailing Address
PRUDENCE HARTWELL M.D.
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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