Individual
MICHELLE HEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 MAIN ST STE 300, PEORIA, IL 61606-2036
(309) 495-0250
(309) 495-0276
Mailing address
1001 MAIN ST STE 300, PEORIA, IL 61606-2036
(309) 495-0250
(309) 495-0276
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014391
IL
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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