Individual
DAVID R VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 W WASHINGTON ST, SPRINGFIELD, IL 62702-5006
(217) 210-2476
Mailing address
8795 RIVER BIRCH RD, DAWSON, IL 62520-3350
(217) 415-5005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
149.020339
IL
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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