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Search › Illinois › Military Health Care Provider

Jessica Carlson

NPI 1205422011 · on the registry since 2020

Practice

Address
112 W 9th St
Coal Valley, IL 61240
Phone
(309) 644-2870

Registry record

Primary taxonomy
Military Health Care Provider
171000000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-15

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