Individual
ELIZABETH A ACKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1701 CURTIS RD, CHAMPAIGN, IL 61822-9678
(217) 365-6203
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-4846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036142010
IL
Other
Enumeration date
07/17/2014
Last updated
05/01/2018
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