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Individual

PATRICIA REICHART

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2921 GREENBRIAR DR, STE C, SPRINGFIELD, IL 62704
(217) 787-9800
(217) 787-9803
Mailing address
695 N PERRYVILLE ROAD, STE 4, ROCKFORD, IL 61107
(815) 227-9900
(815) 227-9805

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
IL

Other

Enumeration date
09/26/2005
Last updated
07/08/2007
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