Individual
AMIT S PARKHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-5027
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-5027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
001
IL
363LF0000X
Family Nurse Practitioner
Primary
209017182
IL
Other
Enumeration date
01/02/2018
Last updated
04/16/2024
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