Individual
JANINE MAERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 LANDMARK DR, SUITE E1, NORMAL, IL 61761-2160
(309) 268-9304
Mailing address
211 LANDMARK DR, SUITE E1, NORMAL, IL 61761-2160
(309) 268-9304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-105714
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105714
—
IL
01
—
833120
MEDICARE GROUP # FOR BLOOMINGTON
—
Enumeration date
09/21/2006
Last updated
04/21/2014
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