Individual
JULIE WADHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 COUNTRY CLUB CT, DANVILLE, IL 61832-1219
(217) 799-4989
Mailing address
108 COUNTRY CLUB CT, DANVILLE, IL 61832-1219
(217) 799-4989
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
500507022
IL
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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