Individual
JEAN L HUSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 HEATHER DRIVE, MAHOMET, IL 61853
(217) 586-8400
(217) 586-5093
Mailing address
611 W. PARK ST., URBANA, IL 61803-6002
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000721
IL
Other
Enumeration date
11/01/2006
Last updated
10/08/2015
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