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Individual

TERESA BOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
407 E VERNON AVE, NORMAL, IL 61761-3813
(309) 451-8500
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
(217) 902-5292

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.028903
IL

Other

Enumeration date
11/27/2023
Last updated
03/29/2024
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