SearchIllinois133V00000X

Angela Disbrow

NPI 1205537941 · on the registry since 2023

Practice

Address
512 Kreitzer Ave
Bloomington, IL 61701
Phone
(309) 828-6157
Fax
(309) 322-6475

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-10

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