KATELYN BANNON

URBANA, IL
NPI1912653775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209023710)
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
KATELYN BANNON CNP
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3440
Mailing Address
KATELYN BANNON CNP
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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