Organization
AMBULATORY MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHOEBE PANOPIO MD (DR)
(309) 452-0995
Entity
Organization
Contact information
Practice address
2010 JACOBSSEN DR, NORMAL, IL 61761-6280
(309) 452-0995
(309) 862-0961
Mailing address
2010 JACOBSSEN DR, NORMAL, IL 61761-6280
(309) 452-0995
(309) 862-0961
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036094859
IL
Other
Enumeration date
06/11/2007
Last updated
11/20/2013
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