Individual
AMIE JILL IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
479 BESSLER LAKE DR, GROVELAND, IL 61535-9710
(309) 387-2023
Mailing address
479 BESSLER LAKE DR, GROVELAND, IL 61535-9710
(309) 387-2023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041.370335
IL
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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