Individual
ELIZABETH KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W. PARK ST., RADIOLOGY, URBANA, IL 61801-2500
(217) 383-3270
(217) 383-4116
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036118210
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470091100
—
MN
Enumeration date
02/08/2006
Last updated
04/21/2015
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