Search › Illinois › 363LF0000X
Era Mattingly, APN
NPI 1033670062 · on the registry since 2019 · sole proprietor
Practice
- Address
- 11522 White Pine Ave
Marion, IL 62959 - Phone
- (618) 889-4834
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-31
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