Individual
MARY JEAN REMEDIO LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
2817 NIELSON CROSSING RD, MARION, IL 62959-6506
(618) 995-9801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1032
KY
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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