Individual
DALE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(732) 823-8687
Mailing address
1819 ROBERT DR, CHAMPAIGN, IL 61821-6030
(732) 823-8687
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125086668
IL
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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