MELISSA M THEOBALD

PEORIA, IL
NPI1114763737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: IL  041362793)
Enumeration Date2024-07-03
Last Update Date2024-07-03
Business Address
MELISSA M THEOBALD FNP
3626 N SHERIDAN RD
PEORIA, IL 61604-1401
Phone number: 309-308-5100
Mailing Address
MELISSA M THEOBALD FNP
19014 N DAILY RD
PRINCEVILLE, IL 61559-9312
Phone number: 309-231-2050