Individual
DONNA V MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
946 4TH ST, ELDORADO, IL 62930-1204
(618) 499-2266
(618) 294-8313
Mailing address
2850 LEAMINGTON RD, EQUALITY, IL 62934-2634
(618) 926-1236
(618) 294-8381
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041.400580
IL
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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