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1871584920
RICHARD OFFENBACK
URBANA, IL
NPI
1871584920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085000765)
Enumeration Date
2005-10-28
Last Update Date
2014-05-08
Business Address
-- RICHARD OFFENBACK PA
611 W PARK ST CARDIOVASCULAR AND THORACIC SURGERY
URBANA, IL 61801-2529
Phone number: 217-904-7000
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Mailing Address
-- RICHARD OFFENBACK PA
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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