Organization · Type 2 NPI
Family Medicine of McLeansboro LLC
Family Nurse Practitioner · Mcleansboro, IL
NPI number
1801920889
Active
Practice location
208 S Washington St
Mcleansboro, IL 62859-1139
Fax (618) 643-2891
Mailing address
208 South Washington Street
Mcleansboro, IL 62859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1801920889
Family Medicine of McLeansboro LLC's National Provider Identifier is 1801920889, issued on Mar 14, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mcleansboro, IL. The record was last updated on Aug 22, 2020.