Individual
CEALIG RIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MAIN ST STE 400, PEORIA, IL 61602-1060
(309) 672-3100
Mailing address
900 MAIN ST STE 400, PEORIA, IL 61602-1060
(309) 672-3100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209028102
IL
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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