Individual
THERESA M HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 655-4714
(309) 664-0969
Mailing address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 655-4714
(309) 664-0969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017160
IL
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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