MARY T SAMULEVICH

SPRINGFIELD, IL
NPI1013504414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: IL  209020043)
Enumeration Date2020-12-31
Last Update Date2021-12-21
Business Address
MARY T SAMULEVICH APRN
2200 WABASH AVE
SPRINGFIELD, IL 62704-5352
Phone number: 217-528-7541
Mailing Address
MARY T SAMULEVICH APRN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2499
Phone number: 217-528-7541
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