Individual
ELISABETH LEANN MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP APN
Contact information
Practice address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
(309) 268-6300
Mailing address
1019 N OAK ST, NORMAL, IL 61761-1735
(309) 265-5794
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025593
IL
Other
Enumeration date
08/11/2022
Last updated
11/21/2022
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