Individual
PATRICIA J RELLEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 TALON DR, SUITE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 628-0883
Mailing address
916 TALON DR, SUITE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 628-0883
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209013774
IL
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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