Individual
DR. BEVERLY MINOLTA LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 CURTIS RD, CHAMPAIGN, IL 61822-9678
(217) 365-6208
(217) 326-1234
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036142720
IL
207V00000X
Obstetrics & Gynecology Physician
ME0073682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252618200
—
FL
Enumeration date
12/06/2005
Last updated
07/21/2022
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