Individual
DR. DEVON OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3311
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036154453
IL
207Q00000X
Family Medicine Physician
125071513
IL
Other
Enumeration date
07/06/2017
Last updated
06/11/2021
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