JODI L BANGERT

SPRINGFIELD, IL
NPI1518244714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085004131)
Enumeration Date2011-11-16
Last Update Date2020-05-26
Business Address
JODI L BANGERT PA
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
Phone number: 217-528-7541
Mailing Address
JODI L BANGERT PA
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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