SUSAN CARMODY

BLOOMINGTON, IL
NPI1841390481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-092276)
Enumeration Date2006-09-24
Last Update Date2007-07-08
Business Address
-- SUSAN CARMODY
1505 EASTLAND DR
BLOOMINGTON, IL 61701-3534
Phone number: 309-663-2100
Mailing Address
-- SUSAN CARMODY
1505 EASTLAND DR
BLOOMINGTON, IL 61701-3534
Phone number: 309-663-2100
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