Individual
ROGER MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
107 STROUP ST, DANVILLE, IL 61832-5041
(217) 260-8920
Mailing address
107 STROUP ST, DANVILLE, IL 61832-5041
(217) 260-8920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041201483
IL
163WH0200X
Home Health Registered Nurse
041201483
IL
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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