Individual
MS. EMILY BERNARDES KLOCKENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
2943 W WHITE OAKS DR STE 1, SPRINGFIELD, IL 62704-6596
(217) 402-8455
Mailing address
2943 W WHITE OAKS DR STE 1, SPRINGFIELD, IL 62704-6596
(217) 402-8455
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/23/2019
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