Individual
ALEX GREGORY NIEBRUGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1106 N MERCHANT ST, EFFINGHAM, IL 62401-2128
(217) 342-7000
(217) 342-7002
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 258-2581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209025757
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
01/19/2021
Last updated
01/15/2026
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