Individual
EMILY LOUISE ROEN NOLTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 365-6202
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
(217) 365-6202
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036165426
IL
208000000X
Pediatrics Physician
MD.44071
AL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD.44071
AL
Other
Enumeration date
04/10/2019
Last updated
09/05/2024
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