Individual
MARIANA KAWALET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 326-0046
(217) 326-1300
Mailing address
2311 LOVIE LN, CHAMPAIGN, IL 61822-4207
(216) 925-3326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
324966
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/01/2019
Last updated
06/08/2026
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