ELLEN MICHELLE HENDRICKS

SPRINGFIELD, IL
NPI1538708086
Former NameELLEN M. CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209020506)
Enumeration Date2020-01-02
Last Update Date2022-12-29
Business Address
ELLEN MICHELLE HENDRICKS APN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
Mailing Address
ELLEN MICHELLE HENDRICKS APN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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