Individual
DARLENE R SEVERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
610 N LINCOLN AVE, URBANA, IL 61801-2432
(217) 383-6555
Mailing address
PO BOX 6004, URBANA, IL 61803-6004
(217) 326-8300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008436
IL
Other
Enumeration date
02/16/2011
Last updated
06/18/2012
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