Individual
SHABEERA RAUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1802 S. MATTIS AVENUE, PAIN CENTER, CHAMPAIGN, IL 61821
(217) 383-3355
(217) 383-4459
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT184343
PA
Other
Enumeration date
05/08/2007
Last updated
05/09/2014
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