Individual
PATRICIA J MCNUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, NEUROLOGY, URBANA, IL 61801-2500
(217) 383-3440
(217) 326-0160
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036082502
IL
Other
Enumeration date
07/21/2006
Last updated
06/06/2014
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