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Individual

JOHN O AGUILAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3313
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036158748
IL
207P00000X
Emergency Medicine Physician
4301109994
MI
207P00000X
Emergency Medicine Physician
72987-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
4301109994
MI

Other

Enumeration date
06/06/2016
Last updated
02/06/2024
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