Medina, Daisy

Medina, Daisy is an individual health care provider with primary practice located at 401 W Springfield Ave , Champaign IL 61820-4716. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as her primary health care specialty. Medina, Daisy can be contacted via phone (224) 489-6080.

Contact Information

Primary practice address
401 W Springfield Ave Champaign IL 61820-4716
Phone: (224) 489-6080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X Illinois

Profile Details

NPI number 1346388956
LBN Legal business name Medina, Daisy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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.

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