Individual
DR. ANN MARIE REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1501 N STATE ROUTE 50, BOURBONNAIS, IL 60914-4429
(217) 408-2511
Mailing address
1902 N PROSPECT AVE, CHAMPAIGN, IL 61822-1411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029387
IL
122300000X
Dentist
12012246A
IN
Other
Enumeration date
06/01/2013
Last updated
07/13/2015
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