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Individual
DR. SHIRLEY LEE TERMOLEN
Active
Individual
DR. SHIRLEY LEE TERMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036096045
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360960451
—
IL
01
—
363762672
TAX ID FOR PRACTICE
IL
Enumeration date
05/03/2006
Last updated
03/04/2011
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