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Individual

ANN MARLYN QUIBAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3908 BOULDER RIDGE DR, CHAMPAIGN, IL 61822-2430
(561) 346-5446
Mailing address
3908 BOULDER RIDGE DR, CHAMPAIGN, IL 61822-2430
(561) 346-5446

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
209.034444
IL

Other

Enumeration date
02/23/2026
Last updated
02/23/2026
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