Individual
MRS. MARGARET E DITTMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-BC
Contact information
Practice address
1 MEDICAL CENTER DR, GALENA, IL 61036-8118
(815) 776-7381
(815) 776-7381
Mailing address
1 MEDICAL CENTER DR, GALENA, IL 61036-8118
(815) 776-7381
(815) 776-7385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209006033
IL
363L00000X
Nurse Practitioner
A-076862
IA
363LF0000X
Family Nurse Practitioner
Primary
209006033
IL
Other
Enumeration date
08/04/2006
Last updated
10/14/2020
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