SearchIllinois172A00000X

Tessa Drake

NPI 1366186074 · on the registry since 2022 · sole proprietor

Practice

Address
698 N 33rd St
Decatur, IL 62521
Phone
(309) 264-6898

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-27

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