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Individual

ELSA J WHITMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3140
(217) 383-4966
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036138901
IL
207V00000X
Obstetrics & Gynecology Physician
125059604
IL

Other

Enumeration date
06/01/2011
Last updated
04/12/2021
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