Individual
TALMAGE J RAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 W PARK ST, STE 206, URBANA, IL 61801-2365
(217) 366-2650
(217) 366-2652
Mailing address
1405 W PARK ST, STE 206, URBANA, IL 61801-2365
(217) 366-2650
(217) 366-2652
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
36-057908
IL
Other
Enumeration date
08/22/2006
Last updated
08/12/2015
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