Individual
CHRISTA JAGLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 454-1400
Mailing address
1304 FRANKLIN AVE STE 380, NORMAL, IL 61761-3558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209020861
IL
363LF0000X
Family Nurse Practitioner
Primary
209020861
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
IL
Enumeration date
03/30/2020
Last updated
03/03/2025
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