Individual
CLAIRE ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 IL ROUTE 162, MARYVILLE, IL 62062
(618) 288-5711
Mailing address
2011 CYPRESS ST, HIGHLAND, IL 62249-2606
(618) 530-1258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041515285
IL
163W00000X
Registered Nurse
2016003241
MO
363LF0000X
Family Nurse Practitioner
Primary
209028149
IL
Other
Enumeration date
06/17/2022
Last updated
01/22/2024
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