THERESA M BENASSI-POWLES

EAST SAINT LOUIS, IL
NPI1215078928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL  209003118)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
Mrs. THERESA M BENASSI-POWLES APN CNP
601 JAMES R THOMPSON BLVD BUILDING D 2015
EAST SAINT LOUIS, IL 62201-1129
Phone number: 618-482-6959
Mailing Address
Mrs. THERESA M BENASSI-POWLES APN CNP
601 JAMES R THOMPSON BLVD BUILDING D 2015
EAST SAINT LOUIS, IL 62201-1129
Phone number: 618-482-6959