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Individual

DR. ALLISON NICOLE YU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1003
(217) 544-6464
Mailing address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.162229
IL
207L00000X
Anesthesiology Physician
2018028676
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200062662
MO
Enumeration date
06/20/2016
Last updated
11/16/2022
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