Individual
ALISON M PEDDYCOART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1836 S MACARTHUR BLVD, SPRINGFIELD, IL 62704-4000
(217) 789-1403
(217) 525-1624
Mailing address
1836 S MACARTHUR BLVD, SPRINGFIELD, IL 62704-4000
(217) 789-1403
(217) 525-1624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041399583
RN LICENSE
IL
Enumeration date
07/23/2018
Last updated
10/08/2024
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