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Individual

CHANTEL LE WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2412 E WASHINGTON ST STE 4, BLOOMINGTON, IL 61704-4497
(309) 585-2116
(309) 585-2152
Mailing address
2412 E WASHINGTON ST STE 4, BLOOMINGTON, IL 61704-4497
(309) 585-2116
(309) 585-2152

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041330932
IL
363LF0000X
Family Nurse Practitioner
Primary
209032286
IL

Other

Enumeration date
10/11/2022
Last updated
05/01/2025
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