Individual
ELIZABETH RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N WALNUT ST, CHAMPAIGN, IL 61820-3055
(217) 373-2430
Mailing address
801 N WALNUT ST, CHAMPAIGN, IL 61820-3055
(217) 373-2430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178010608
IL
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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