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Search › Illinois › 183500000X

Amelia Boncu

NPI 1619579265 · on the registry since 2020 · sole proprietor

Practice

Address
401 River Rd
East Peoria, IL 61611
Phone
(309) 694-0261
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc
Mark E Brewer O D P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-09

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