Individual
MRS. CORA JEAN THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
701 W LAMM RD, FREEPORT, IL 61032-9630
(815) 233-6162
(815) 233-6167
Mailing address
1247 E SHAWNEE ST, FREEPORT, IL 61032-5963
(815) 232-1910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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