SearchIllinois183500000X

Mary Varboncouer

NPI 1265032171 · on the registry since 2020

Practice

Address
1790 E Walnut St
Watseka, IL 60970
Phone
(815) 432-2208
Organisation at this address
Walmart Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-29

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