Individual
HEATHER ANN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Mailing address
610 NEWTON DR, CHAMPAIGN, IL 61822-1025
(314) 625-2353
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.085919
IL
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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