SearchIllinois3747A0650X

Doreen Blair

NPI 1386288413 · on the registry since 2019 · sole proprietor

Practice

Address
110 Yellow Springs Rd
Elizabethtown, IL 62931
Phone
(618) 289-4339

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Also registered as
3747A0650X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-01

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