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Search › Illinois › 363A00000X

Abigail Boethin, P.A.-C

NPI 1023369212 · on the registry since 2012

Practice

Address
611 W Park St
Fapc
Urbana, IL 61801
Phone
(217) 904-7000
Fax
(217) 904-7748
Organisation at this address
Lifenet, Inc.
Carle Hospital
University Of Illinois
University Of Illinois
Carle Foundation Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
976

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363AM0700X
363AS0400X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois