DIANE MARILYN WEIS BONTKE

SPRINGFIELD, IL
NPI1487765483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  36104833)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Dr. DIANE MARILYN WEIS BONTKE MD
700 NTH 7TH STREET STE C
SPRINGFIELD, IL 62702
Phone number: 217-522-9730
Mailing Address
Dr. DIANE MARILYN WEIS BONTKE MD
1314 NORTH STATE STREET
LITCHFIELD, IL 62056-1106
Phone number: 217-522-9730
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