Individual
JILL MARIE WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1098 1350TH ST, LINCOLN, IL 62656-5094
(217) 735-5411
Mailing address
2012 W SHERMAN AVE, WEST PEORIA, IL 61604-5603
(309) 472-7295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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