Individual
MARY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 NORTH NORTH STREET, DANVILLE, IL 61832
(217) 213-8374
Mailing address
16527 E 2820 N RD., ALVIN, IL 61811
(217) 318-9651
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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