Individual
DR. REBECCA E PUHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 326-4446
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT011808
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036138884
IL
208000000X
Pediatrics Physician
OT011808
PA
Other
Enumeration date
06/02/2008
Last updated
10/08/2015
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