Individual
MRS. HOLLY A WILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
517 N MAIN ST, ANNA, IL 62906-1668
(618) 833-4511
Mailing address
517 N MAIN ST, ANNA, IL 62906-1668
(618) 833-4511
(618) 833-8481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.416466
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209011563
IL
Other
Enumeration date
04/22/2014
Last updated
12/08/2021
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