Individual
MS. SUSAN MARIE ELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., FNP-BC
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
16137 LYNN ACRES, EFFINGHAM, IL 62401-7496
(217) 821-5820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209003830
IL
Other
Enumeration date
01/13/2009
Last updated
09/22/2016
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