Individual
RENAE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 E QUEENWOOD RD STE 202, MORTON, IL 61550-2962
(309) 621-9580
Mailing address
3820 CAMDEN CIR, CHILLICOTHE, IL 61523-9490
(309) 472-0133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021136
IL
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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