Individual
ELIZABETH L DEDDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3610
(217) 326-2704
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016123
IL
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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