Individual
DOREEN A WILMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 545-8000
(217) 747-1351
Mailing address
520 N 4TH ST, PO BOX 19670, SPRINGFIELD, IL 62702-5238
(217) 545-8000
(217) 747-1351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-012667
IL
Other
Enumeration date
05/28/2015
Last updated
12/04/2020
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