WILLIAM SCOTT CHILDRESS

LAWRENCEVILLE, IL
NPI1053199232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043123069)
Enumeration Date2023-09-19
Last Update Date2023-09-19
Business Address
WILLIAM SCOTT CHILDRESS
2101 JAMES ST
LAWRENCEVILLE, IL 62439-2027
Phone number: 618-943-3302
Mailing Address
WILLIAM SCOTT CHILDRESS
2101 JAMES ST
LAWRENCEVILLE, IL 62439-2027
Phone number: