Individual
JEANNETTE M ATCHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
800 N. 1ST STREET, SPRINGFIELD, IL 62702
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
237000020
IL
Other
Enumeration date
02/08/2007
Last updated
04/26/2012
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