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Individual

DR. PETER S DUMICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2609 S NOTTINGHAM CT, CHAMPAIGN, IL 61821-6182
(217) 352-1668
(217) 352-6882
Mailing address
2609 S NOTTINGHAM CT, CHAMPAIGN, IL 61821-7014
(217) 352-1668

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-068888
IL

Other

Enumeration date
06/26/2017
Last updated
06/26/2017
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