Individual
DAWN C BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 COMMERCIAL DR, MAHOMET, IL 61853-8625
(217) 586-6600
(217) 366-5358
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 586-6600
(217) 366-5358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01090197A
IN
207Q00000X
Family Medicine Physician
Primary
036130642
IL
Other
Enumeration date
08/06/2009
Last updated
08/02/2023
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