Individual
MRS. ANGELA FAITH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 E PLUMMER BLVD STE A, CHATHAM, IL 62629-8136
(174) 833-3332
(217) 483-4393
Mailing address
125 E PLUMMER BLVD STE A, CHATHAM, IL 62629-8136
(174) 833-3332
(217) 483-4393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041362669
IL
Other
Enumeration date
04/07/2017
Last updated
01/06/2022
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