Individual
LARRY MARCUS SEARS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 238-4329
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN767479
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
209-035014
IL
Other
Enumeration date
01/13/2023
Last updated
04/24/2026
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