Individual
KATIE ROEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
650 OAK AVE, NEOGA, IL 62447-1502
(217) 895-2222
(217) 895-3598
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012561
IL
Other
Enumeration date
03/02/2015
Last updated
06/30/2025
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