Individual
JOHN LEE HANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3520 FERNDALE AVE, DANVILLE, IL 61834-7303
(217) 516-2266
Mailing address
3520 FERNDALE AVE, DANVILLE, IL 61834-7303
(217) 516-2266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041263280
IL
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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