Individual
MARTHA A GUYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
602 W, UNIVERSITY AVENUE, OB/GYN, URBANA, IL 61801
(217) 383-3140
(217) 383-4966
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000745
IL
Other
Enumeration date
10/27/2006
Last updated
06/11/2012
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