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1558358911
PENELOPE A EWBANK
PEORIA, IL
NPI
1558358911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: IL 036104932)
Enumeration Date
2005-09-30
Last Update Date
2021-07-08
Business Address
Dr. PENELOPE A EWBANK MD
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Phone number: 309-691-5200
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Mailing Address
Dr. PENELOPE A EWBANK MD
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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