HEATHER KONZELMANN

CHAMPAIGN, IL
NPI1720066251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9103440)
Enumeration Date2006-01-05
Last Update Date2014-12-05
Business Address
Ms. HEATHER KONZELMANN PA
1801 WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-8130
Mailing Address
Ms. HEATHER KONZELMANN PA
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-8107
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