Organization
CUMBERLAND COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA DIANE HANLEY (HR MANAGER)
(217) 849-3211
Entity
Organization
Contact information
Practice address
200 S. INDIANA ST., TOLEDO, IL 62468-0130
(217) 849-3211
(217) 849-3121
Mailing address
P.O. BOX 130, TOLEDO, IL 62468-0130
(217) 849-3211
(217) 849-3121
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
IL
363LF0000X
Family Nurse Practitioner
209005982
IL
Other
Enumeration date
07/10/2006
Last updated
01/04/2016
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