SearchIllinois122300000X

Bruce Sammons

NPI 1194866699 · on the registry since 2007

Practice

Address
3003 Village Office Place
Champaign, IL 61822
Phone
(217) 359-4246

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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