Individual
DR. TERRY F HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., PEDS SPECIALTIES, URBANA, IL 61801-2500
(217) 383-3100
(217) 383-4468
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036048390
IL
2080P0206X
Pediatric Gastroenterology Physician
Primary
036-048390
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048390
—
IL
Enumeration date
06/17/2006
Last updated
02/15/2016
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