person
Mr. Daniel Thomas Foutch, APRN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Mahomet, Illinois
NPI 1669149134

Daniel Thomas Foutch is a Psychiatric/Mental Health Nurse Practitioner based in Champaign, IL and is specialized in Psychiatric/Mental Health. Daniel Thomas Foutch practices in Mahomet, IL and has the professional credentials of APRN,PMHNP-BC. The NPI Number for Daniel Thomas Foutch is 1669149134 and holds a License No. 209023867 (Illinois).

The current practice location address for Daniel Thomas Foutch is 1204 E Oak St Ste 2-2, Mahomet, IL and can be reached out via phone at 217-530-5608 and via fax at 309-981-8714. You can also correspond with Daniel Thomas Foutch through the mailing address at 809 W CHURCH ST, CHAMPAIGN, IL - 61820-3320 (mailing address contact number: 217-530-5608).

Location: 1204 E Oak St Ste 2-2, Mahomet, IL, 61820-3320
person
Provider Profile Details
NPI Number
1669149134
Provider Name
Daniel Thomas Foutch
Credential
APRN,PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1204 E Oak St Ste 2-2, Mahomet, IL, 61820-3320
Phone Number
217-530-5608
Fax Number
309-981-8714
Provider Enumeration Date
08/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1204 E Oak St Ste 2-2
City
State
Zip
61853-2795
Phone Number
217-530-5608
Fax Number
309-981-8714
person
Provider Business Mailing Address Details
Address
1204 E Oak St Ste 2-2
City
State
Zip
61853-2795
Phone Number
217-530-5608
Fax Number
309-981-8714
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209023867 (Illinois)
Definition
Definition to come...
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