Maxwell, Dianne

Maxwell, Dianne is an individual health care provider with primary practice located at 1701 W Curtis Road Family Medicine/Convenient Care, Champaign IL 61822. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Maxwell, Dianne can be contacted via phone (217) 365-6203.

Contact Information

Primary practice address
1701 W Curtis Road Family Medicine/Convenient Care Champaign IL 61822
Phone: (217) 365-6203
Fax: (217) 326-4003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209001591 Illinois

Profile Details

NPI number 1841362225
LBN Legal business name Maxwell, Dianne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Mar 10th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841362225 NPPES
Illinois Other 0533210001 DMERC
Illinois Other 500015565 DMERC

Popular Providers