Individual
JUDITH A CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3311
Mailing address
PO BOX 6004, URBANA, IL 61803-6004
(217) 383-6792
(217) 326-2856
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
209001841
IL
Other
Enumeration date
12/27/2006
Last updated
03/26/2012
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