Individual
MRS. JULIE ANN THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
Mailing address
1614 E NORRIS DR, OTTAWA, IL 61350-3681
(815) 433-1010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41442787
IL
363LF0000X
Family Nurse Practitioner
Primary
209028334
IL
Other
Enumeration date
09/14/2023
Last updated
12/15/2023
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