Individual
DR. MARY TERESE COUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3313
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036161092
IL
207P00000X
Emergency Medicine Physician
125074456
IL
Other
Enumeration date
07/02/2019
Last updated
12/06/2024
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