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Individual

DUAT BUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3190
(217) 383-7117
Mailing address
611 W PARK ST, URBANA, IL 61801-2529

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS14254
FL
207R00000X
Internal Medicine Physician
UO4408
FL
207RP1001X
Pulmonary Disease Physician
Primary
036155287
IL

Other

Enumeration date
05/16/2015
Last updated
03/24/2022
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