Search › Illinois › 374J00000X
Candice Ullery, SBD
NPI 1386026078 · on the registry since 2015 · sole proprietor
Practice
- Address
- 416 Oglesby St
Salem, IL 62881 - Phone
- (618) 292-8518
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-11-15
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