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Individual

KELLY LOEWENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
311 W FAIRCHILD ST, DANVILLE, IL 61832-3876
(217) 431-7700
(217) 431-7634
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2500
(217) 383-6941
(217) 383-4752

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209010914
IL

Other

Enumeration date
01/09/2014
Last updated
02/10/2015
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