Organization
AIRLINE CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DYKEMAN (OWNER)
(314) 374-9965
Entity
Organization
Contact information
Practice address
33 E AIRLINE DR, EAST ALTON, IL 62024-1703
(618) 908-8602
Mailing address
33 E AIRLINE DR, EAST ALTON, IL 62024-1703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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