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Individual

GERRI DYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
220 N PARK AVE, SUITE 2, HERRIN, IL 62948-3150
(618) 942-3344
(618) 942-5045
Mailing address
220 N PARK AVE, SUITE 2, HERRIN, IL 62948-3150
(618) 942-3344
(618) 942-5045

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB3700
RAILROAD GROUP NUMBER
IL
01
K07911
UMWA PROVIDER NUMBER
IL
01
K16716
UMWA PROVIDER NUMBER
IL
01
P00103464
RAILROAD PROVIDER NUMBER
IL
Enumeration date
07/17/2006
Last updated
07/09/2007
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