Individual
ANGELA TABELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
119 GAS PLANT RD, DU QUOIN, IL 62832-3866
(618) 542-8702
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
(618) 724-2401
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043090576
IL
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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