Ila Mae Minnick

NPI 1134240989 - Registered Nurse - 163WA2000X

NPI Details
NPI 1134240989
Gender Female
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7604 BRIDLEWOOD RD
CALEDONIA IL, 61011-9013, US
Phone (815) 885-1195
Fax
Business Location
7604 BRIDLEWOOD RD
CALEDONIA IL, 61011-9013, US
Phone (815) 885-1195
Fax
Toxanomy
Taxonomy Code 163WA2000X
License State
License Number
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According to our database, Ila Mae Minnick NPI is 1134240989, taxonomy code is 163WA2000X Ila Mae Minnick physically located at 7604 Bridlewood Rd, Caledonia IL, 61011-9013. NPI Number Ila Mae Minnick has the Individual type.

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1134240989 NPI number is provided on an as is basis without warranty of any kind. 1134240989 is maintained by the National Plan & Provider Enumeration System. The contents of Ila Mae Minnick are for informational purposes only.