Individual
MARGARET J NEUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2304 STERN DR, BLOOMINGTON, IL 61704-4406
(309) 663-0411
(309) 662-2018
Mailing address
19760 WESLEY ST, DOWNS, IL 61736-9361
(309) 533-2674
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209001318
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209001318
STATE LICENSE
IL
01
—
216064
MEDICARE GROUP PTAN
—
Enumeration date
12/29/2006
Last updated
11/12/2014
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