Individual
MARY K CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 PIN OAK DR, CARTERVILLE, IL 62918-1600
(618) 985-3333
(618) 985-1307
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008116
IL
363LF0000X
Family Nurse Practitioner
209008116
IL
Other
Enumeration date
04/19/2010
Last updated
02/13/2023
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