Individual
ANN WITGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9253
(217) 258-4178
Mailing address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9253
(217) 258-4178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.001002
IL
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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