# WOMENS HEALTH PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316236573
- **Authorized official:** DR. SUZANNE TRUPIN M.D. (CEO)
- **Authorized official phone:** (217) 356-3736

## Contact information

- **Practice address:** 2109 S NEIL ST, CHAMPAIGN, IL 61820-7266
- **Practice address phone:** (217) 356-3736
- **Practice address fax:** (217) 953-0885
- **Mailing address:** 2109 S NEIL ST, CHAMPAIGN, IL 61820-7266
- **Mailing address phone:** (217) 356-3736
- **Mailing address fax:** (217) 953-0885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 00361763 | IL | Yes |

## Other

- **Enumeration date:** 03/28/2011
- **Last updated:** 06/02/2022