Individual
JENNA SCHRAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
317 N 5TH ST, SPRINGFIELD, IL 62701-1003
(618) 514-9941
Mailing address
506 E BROOK DR, AVISTON, IL 62216-3610
(618) 514-9941
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
209015049
IL
363L00000X
Nurse Practitioner
Primary
209015049
IL
Other
Enumeration date
02/07/2017
Last updated
12/09/2019
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