TRACY A MAXWELL

URBANA, IL
NPI1548311731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209001233)
Enumeration Date2007-01-15
Last Update Date2012-06-11
Business Address
-- TRACY A MAXWELL CRNA
602 W. UNIVERSITY AVENUE FAMILY MEDICINE
URBANA, IL 61801
Phone number: 217-383-5162
Mailing Address
-- TRACY A MAXWELL CRNA
P.O. BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8300
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