Individual
LINDSEY MARIE ILLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
232 S WOODS MILL RD STE 400, CHESTERFIELD, MO 63017-3467
(314) 205-6744
Mailing address
947 BELLESTRI DR, BALLWIN, MO 63021-6483
(314) 583-2224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019037294
MO
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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