Individual
CAITLIN HALLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3024 E EMPIRE ST, BLOOMINGTON, IL 61704-5402
(309) 556-7556
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209030410
IL
Other
Enumeration date
09/03/2024
Last updated
11/20/2024
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