Individual
CRISTINA NICOLAS MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
507 S 2ND ST, UNIT 1- SOUTH EAST, CHAMPAIGN, IL 61820-5428
(217) 722-3087
Mailing address
507 S 2ND ST, UNIT 1- SOUTH EAST, CHAMPAIGN, IL 61820-5428
(217) 722-3087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036100823
IL
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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