Individual
INES O BAQUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 W. CURTIS ROAD, OB/GYN, CHAMPAIGN, IL 61822
(217) 365-8208
(217) 326-1234
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036070723
IL
Other
Enumeration date
07/04/2006
Last updated
12/22/2010
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