Individual
DR. ANNE MCKUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 244-5676
Mailing address
616 BELLERIEVE DR, CHAMPAIGN, IL 61822-7344
(217) 378-7827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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