Individual
HAYDEE BRIONES JABINES-STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 ROBINSON ST, DANVILLE, IL 61832-8515
(217) 442-8611
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 442-8611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036126672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080195355
RR MEDICARE
IA
05
—
2209866
—
IA
Enumeration date
10/07/2005
Last updated
04/14/2023
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