Organization · Type 2 NPI
Functional Regenerative Services of Illinois Ltd LLC
Family Nurse Practitioner · Tuscola, IL
NPI number
1043891880
Active
Practice location
902 S Court Street, Suite 2
Tuscola, IL 61953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1043891880
Functional Regenerative Services of Illinois Ltd LLC's National Provider Identifier is 1043891880, issued on Apr 14, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tuscola, IL. The record was last updated on Jun 3, 2021.