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Individual

CORBIN REID MAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2529
(312) 816-4186
Mailing address
520 N NEIL ST APT 580, CHAMPAIGN, IL 61820-7781

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.077068
IL

Other

Enumeration date
07/06/2020
Last updated
07/06/2020
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