Individual
MRS. THERESE MARIE RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4300 FORT DONELSON DR, SPRINGFIELD, IL 62711-7939
(217) 836-9498
Mailing address
4300 FORT DONELSON DR, SPRINGFIELD, IL 62711-7939
(217) 836-9498
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041253257
IL
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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