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Dr. Maria T Grosse-perdekamp, MD
Hematology & Oncology Physician in Urbana, Illinois
NPI 1124077714

Maria T Grosse-perdekamp is a Hematology & Oncology Physician based in Urbana, IL and is specialized in Hematology & Oncology. Maria T Grosse-perdekamp practices in Urbana, IL and has the professional credentials of MD. The NPI Number for Maria T Grosse-perdekamp is 1124077714 and holds a License No. 036110021 (Illinois).

The current practice location address for Maria T Grosse-perdekamp is 509 W University Ave, Urbana, IL and can be reached out via phone at 217-383-6636 and via fax at 217-383-3466. You can also correspond with Maria T Grosse-perdekamp through the mailing address at 611 W PARK ST, URBANA, IL - 61801-2529 (mailing address contact number: 217-383-6792).

Location: 509 W University Ave, Urbana, IL, 61801-2529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124077714
Provider Name
Maria T Grosse-perdekamp
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
509 W University Ave, Urbana, IL, 61801-2529
Phone Number
217-383-6636
Fax Number
217-383-3466
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036110021 05 IL
institution
Provider Business Practice Location Address Details
Address
509 W University Ave
City
Urbana
State
Illinois
Zip
61801-1645
Phone Number
217-383-6636
Fax Number
217-383-3466
person
Provider Business Mailing Address Details
Address
509 W University Ave
City
Urbana
State
Illinois
Zip
61801-1645
Phone Number
217-383-6636
Fax Number
217-383-3466
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
036110021 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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