Individual
DR. CATHERINE DIASANTA TEODORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 E 9TH ST, PANA, IL 62557-1716
(217) 562-2131
Mailing address
101 E 9TH ST, PANA, IL 62557-1716
(217) 562-2131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036127183
IL
Other
Enumeration date
06/09/2011
Last updated
02/12/2021
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