Individual
CANDACE COURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.013125
IL
Other
Enumeration date
08/21/2015
Last updated
05/17/2016
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