Individual
CARLOS MIGUEL AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 757-8100
(217) 757-8161
Mailing address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 757-8100
(217) 757-8161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.065885
IL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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