Search › Illinois › 172A00000X
Paula Icenogle
NPI 1023281847 · on the registry since 2008
Practice
- Address
- 708 Sherry St
Colchester, IL 62326 - Phone
- (309) 776-3978
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois