CENTRAL ILLINOIS FAMILY PRACTICE

DANVILLE, IL
NPI1558665596
Entity TypeOrganization
Authorized ContactMICHAEL CURTIS WAGNER
Family Nurse Practitioner
217-213-5254
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209003483041)
Enumeration Date2011-01-05
Last Update Date2011-01-05
Business Address
CENTRAL ILLINOIS FAMILY PRACTICE
603 N LOGAN AVE
DANVILLE, IL 61832-4320
Phone number: 217-213-5254
Mailing Address
CENTRAL ILLINOIS FAMILY PRACTICE
603 N LOGAN AVE
DANVILLE, IL 61832-4320
Phone number: 217-213-5254