Individual
CARRIE F THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041326468
IL
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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