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1811096654
HOMER G RADDEN
URBANA, IL
NPI
1811096654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 036113607)
Enumeration Date
2006-09-21
Last Update Date
2023-11-27
Business Address
HOMER G RADDEN MD
611 W. PARK ST.
URBANA, IL 61801-2500
Phone number: 217-383-3303
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Mailing Address
HOMER G RADDEN MD
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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