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Individual

ANGELA CHRISTINE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2300 S 1ST ST, CHAMPAIGN, IL 61820-7661
(217) 383-9400
(217) 383-9694
Mailing address
2300 S 1ST ST, CHAMPAIGN, IL 61820-7661

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209030114
IL

Other

Enumeration date
08/09/2024
Last updated
04/13/2025
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