Talmage J Raine, MD | |
1405 W Park St, Ste 206, Urbana, IL 61801-2365 | |
(217) 366-2650 | |
(217) 366-2652 |
Full Name | Talmage J Raine |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 1405 W Park St, Urbana, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902912678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 36-057908 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Talmage J Raine, MD 1405 W Park St, Ste 206, Urbana, IL 61801-2365 Ph: (217) 366-2650 | Talmage J Raine, MD 1405 W Park St, Ste 206, Urbana, IL 61801-2365 Ph: (217) 366-2650 |
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