Individual
MRS. DARA G DIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
300 N MAPLE ST, EFFINGHAM, IL 62401-2003
(217) 342-4151
Mailing address
300 N MAPLE ST, PO BOX 1268, EFFINGHAM, IL 62401-2003
(217) 342-4151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY #
IL
01
—
720233
HEALTHLINK PROVIDER #
IL
Enumeration date
05/23/2007
Last updated
05/21/2020
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