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Individual

BARRY JAY RISKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2502 E EMPIRE ST, BLOOMINGTON, IL 61704-3738
(309) 385-7010
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(309) 385-7010

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-084494
IL

Other

Enumeration date
09/12/2007
Last updated
01/06/2022
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