Individual
DR. CATHERINE ELIZABETH THEORELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3266
(217) 383-3463
Mailing address
PO BOX 6002, URBANA, IL 61803-6002
(217) 326-8630
(312) 996-2328
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
209.004131041.16740
IL
Other
Enumeration date
08/01/2008
Last updated
12/11/2013
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