Individual
MS. NANCY JO PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5518
Mailing address
16 BREMER AVE, DANVILLE, IL 61832-5007
(217) 431-2739
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43072660
IL
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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