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Individual

VIRGINIA B HEMELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
750 E TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3621
(815) 455-1800
(815) 455-1875
Mailing address
3217 W ALTO RD, KOKOMO, IN 46902-4609
(765) 438-0832

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01047250A
IN
2084N0400X
Neurology Physician
036140603
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200158180
IN
Enumeration date
07/07/2005
Last updated
10/11/2024
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