Individual
MRS. JULIA WIEGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1418 CROSS ST STE 250, SHILOH, IL 62269-2965
(618) 236-8000
Mailing address
1116 HARTMAN LN, SHILOH, IL 62221-8014
(618) 641-9011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2770022022
IL
363LF0000X
Family Nurse Practitioner
2003021315
MO
363LF0000X
Family Nurse Practitioner
209.006539
IL
Other
Enumeration date
09/08/2006
Last updated
09/25/2025
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