Individual
MRS. JUDITH A WAKELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1000 W HARLEM AVE, MONMOUTH, IL 61462-1099
(309) 734-3141
(309) 734-3029
Mailing address
1000 W HARLEM AVE, MONMOUTH, IL 61462-1099
(309) 734-3141
(309) 734-3029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041127252
IL
363A00000X
Physician Assistant
Primary
085001026
IL
Other
Enumeration date
01/30/2006
Last updated
07/29/2014
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