CASEY AT DIVELY

TAYLORVILLE, IL
NPI1386171809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209015986041408044)
Enumeration Date2017-05-15
Last Update Date2025-01-13
Business Address
CASEY AT DIVELY NP-C
1304 BURNETT DR
TAYLORVILLE, IL 62568-9519
Phone number: 217-321-9310
Mailing Address
CASEY AT DIVELY NP-C
1304 BURNETT DR
TAYLORVILLE, IL 62568-9519
Phone number: 217-321-9310
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