Individual
MS. TERESA DAWN MEJORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 661-6230
(309) 664-3461
Mailing address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 661-6230
(309) 664-3461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001992
IL
Other
Enumeration date
10/01/2008
Last updated
09/16/2014
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