Individual
JACQUELYN M HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-1000
(309) 344-2405
Mailing address
3315 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-1000
(309) 344-2405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004892
IL
Other
Enumeration date
10/16/2013
Last updated
04/11/2023
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