TERESA S KING

CHAMPAIGN, IL
NPI1508898131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036141894)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: IL  036141894)
2085R0202X Radiology, Diagnostic Radiology
(Licence: SC  625)
Enumeration Date2006-07-06
Last Update Date2022-07-26
Business Address
TERESA S KING DO
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1285
Mailing Address
TERESA S KING DO
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1285