DIANNE MAXWELL

CHAMPAIGN, IL
NPI1841362225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209001591)
Enumeration Date2006-11-14
Last Update Date2015-03-10
Business Address
-- DIANNE MAXWELL NP
1701 W CURTIS ROAD FAMILY MEDICINE/CONVENIENT CARE
CHAMPAIGN, IL 61822
Phone number: 217-365-6203
Mailing Address
-- DIANNE MAXWELL NP
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792