Individual
FARAH S GAUDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 W UNIVERSITY AVENUE, PATHOLOGY LAB, URBANA, IL 61801
(217) 383-3342
(217) 383-4260
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036114130
IL
Other
Enumeration date
07/19/2006
Last updated
01/13/2014
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