Individual
MICHELLE BANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1999 WABASH AVE, SUITE 201, SPRINGFIELD, IL 62704-5351
(217) 523-2273
(217) 523-2272
Mailing address
1999 WABASH AVE, SUITE 201, SPRINGFIELD, IL 62704-5351
(217) 523-2273
(217) 523-2272
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.083129
IL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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