Individual
MRS. WENDIE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
512 DEER MEADOW DR, CHATHAM, IL 62629-5802
(217) 483-7864
(217) 483-7864
Mailing address
512 DEER MEADOW DR, CHATHAM, IL 62629-5802
(217) 483-7864
(217) 483-7864
Taxonomy
Speciality
Code
Description
License number
State
364SR0400X
Rehabilitation Clinical Nurse Specialist
Primary
209005320
IL
Other
Enumeration date
07/25/2006
Last updated
04/24/2009
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