Individual
CAROLE S MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1802 S MATTIS AVE, ORTHOPEDICS, CHAMPAIGN, IL 61821-5923
(217) 383-3260
(217) 383-4459
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3324
AZ
Other
Enumeration date
02/09/2006
Last updated
01/23/2015
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