Individual
DONNA MARIA MATTICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6309 WIND TREE RD, SPRINGFIELD, IL 62712-3738
(217) 899-7524
(217) 529-9514
Mailing address
6309 WIND TREE RD, SPRINGFIELD, IL 62712-3738
(217) 899-7524
(217) 529-9514
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
IL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/05/2007
Last updated
09/11/2025
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