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1962667030
ADA C SUM
URBANA, IL
NPI
1962667030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036.128652)
Enumeration Date
2008-07-28
Last Update Date
2014-05-06
Business Address
-- ADA C SUM MD
1818 E WINDSOR RD
URBANA, IL 61802-9566
Phone number: 573-255-9700
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Mailing Address
-- ADA C SUM MD
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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