Individual
CHRISTINA M MCDORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
327 EDWARD ST, HENRY, IL 61537-1539
(309) 364-2002
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-2811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017956
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209017956
—
IL
Enumeration date
12/16/2018
Last updated
10/16/2020
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