Individual
LINDA NICHOLS MCENERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 W PENNSYLVANIA AVE, URBANA, IL 61801-4818
(217) 621-2867
Mailing address
601 W PENNSYLVANIA AVE, URBANA, IL 61801-4818
(217) 621-2867
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036.059403
IL
Other
Enumeration date
11/30/2006
Last updated
12/08/2016
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