Individual
DR. CORINNE E KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
819 BLOOMINGTON RD, CHAMPAIGN, IL 61820-2101
(217) 356-1558
Mailing address
819 BLOOMINGTON RD, CHAMPAIGN, IL 61820-2101
(217) 356-1558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036093780
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093780
—
IL
Enumeration date
02/21/2006
Last updated
10/25/2011
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