Individual
PRUDENCE HARTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 CURTIS RD, CHAMPAIGN, IL 61822-9678
(217) 365-6202
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036146564
IL
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
036146564
IL
Other
Enumeration date
04/23/2015
Last updated
10/21/2025
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