Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
May 16, 2023
License(s)
209.027442 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2683 N 1800 ST | Beecher City, IL 62414-2543 | 618-780-9301 |
| LOCATION | 415 N CEDAR ST | Shelbyville, IL 62565-1245 | 217-774-2900 |
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