Search › Illinois › 163WA2000X
Ila Minnick
NPI 1134240989 · on the registry since 2007 · sole proprietor
Practice
- Address
- 7604 Bridlewood Rd
Caledonia, IL 61011 - Phone
- (815) 885-1195
Registry record
- Primary taxonomy
- 163WA2000X
163WA2000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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