Individual
MRS. ANGELA MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2222 E STATE ST, SUITE 209, ROCKFORD, IL 61104-1573
(815) 988-8500
(815) 977-5956
Mailing address
2222 E STATE ST, SUITE 209, ROCKFORD, IL 61104-1573
(815) 988-8500
(815) 977-5956
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.117250
IL
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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