Individual
MARY PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2707 E ILLINOIS ST, URBANA, IL 61802-4627
(217) 480-5396
Mailing address
2707 E ILLINOIS ST, URBANA, IL 61802-4627
(217) 480-5396
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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