Individual
LESLIE A TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1000 HEALTH CENTER DR STE 201, MATTOON, IL 61938
(217) 258-4030
(217) 258-2353
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008018
IL
Other
Enumeration date
01/28/2010
Last updated
01/08/2019
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