Individual
JOSHUA CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 PHIPPS LN, PARIS, IL 61944-2919
(217) 463-4340
Mailing address
721 E COURT ST, PARIS, IL 61944-2460
(217) 465-4141
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
041409208
IL
363LF0000X
Family Nurse Practitioner
Primary
209020429
IL
Other
Enumeration date
08/16/2019
Last updated
11/20/2019
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